Organization
KAISER PERMANENTE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA MARIE MCCOMMAS RDH (PERIO DENTAL HYGIENIST)
(503) 653-7411
Entity
Organization
Contact information
Practice address
2300 LANCASTER DR NE, SALEM, OR 97305-1223
(503) 370-4843
Mailing address
16167 SE RIVER FOREST PL, OAK GROVE, OR 97267-3614
(503) 653-7411
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H1918
OR
Other
Enumeration date
09/12/2006
Last updated
06/01/2021
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