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Organization

HAZEL DENTAL

Active
Other names
Edgewater Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BENJAMIN JAMES DDS (OWNER)
(971) 707-0117
Entity
Organization

Contact information

Practice address
2235 MISSION ST SE STE 250, SALEM, OR 97302-1294
(971) 707-0117
Mailing address
2235 MISSION ST SE STE 250, SALEM, OR 97302-1294
(971) 707-0117

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
01/03/2024
Last updated
07/17/2026
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