Organization
ROGER C. DOW, DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER C DOW D.M.D. (DENTIST/OWNER)
(503) 363-1712
Entity
Organization
Contact information
Practice address
140 RAMSGATE SQ SE, SUITE 110, SALEM, OR 97302
(503) 363-1712
(503) 363-4346
Mailing address
140 RAMSGATE SQ SE, SUITE 110, SALEM, OR 97302
(503) 363-1712
(503) 363-4346
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D6497
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112784
—
OR
Enumeration date
09/19/2012
Last updated
09/19/2012
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