Organization
CHEHALEM DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN ANDREW OGLE DMD (OWNER/DENTIST)
(503) 538-3129
Entity
Organization
Contact information
Practice address
902 DEBORAH RD, NEWBERG, OR 97132-2001
(503) 537-8781
(503) 538-3120
Mailing address
902 DEBORAH RD, NEWBERG, OR 97132-2001
(503) 537-8781
(503) 538-3120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10303
OR
Other
Enumeration date
05/22/2018
Last updated
06/11/2019
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