Organization
DENTAL PROFESSIONALS OF OREGON, P.C.
Active
Parent organization
HEARTLAND DENTAL
Other names
V2 Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
4575 RIVER RD N, KEIZER, OR 97303-4645
(503) 393-2651
Mailing address
4575 RIVER RD N, KEIZER, OR 97303-4645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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