Organization
-
Active
Other names
Salem Endodontics Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUJATULLAH BAYAT DDS, MS (OWNER)
(503) 363-6500
Entity
Organization
Contact information
Practice address
4342 LIBERTY RD S, SALEM, OR 97302-6171
(503) 363-6500
Mailing address
4342 LIBERTY RD S, SALEM, OR 97302-6171
(503) 363-6500
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4342
OWNER
—
Enumeration date
01/02/2020
Last updated
01/02/2020
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