Organization
INLAND SHORES FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN PETERSON D.M.D. (OWNER/DENTIST)
(503) 390-4117
Entity
Organization
Contact information
Practice address
5830 SHOREVIEW LN N, KEIZER, OR 97303-3866
(503) 390-4117
(503) 390-8342
Mailing address
5830 SHOREVIEW LN N, KEIZER, OR 97303-3866
(503) 390-4117
(503) 390-8342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8434
OR
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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