Organization
SALEMTOWNE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY BERG DMD (OWNER)
(541) 928-2301
Entity
Organization
Contact information
Practice address
1257 WALLACE RD NW, SALEM, OR 97304-3007
(541) 928-2301
Mailing address
2825 WILLETTA ST SW, ALBANY, OR 97321-3846
(541) 928-2301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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