Organization
MID-VALLEY DENTAL ASSOCIATES CORVALLIS LLC
Active
Parent organization
MID-VALLEY DENTAL ASSOCIATES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID-VALLEY DENTAL ASSOCIATES LLC
Authorized official
MANDY KAY DITTMER (PRACTICE MANAGER)
(541) 928-2301
Entity
Organization
Contact information
Practice address
2300 NW KINGS BLVD, CORVALLIS, OR 97330-3925
(541) 754-2214
(541) 754-6631
Mailing address
2825 WILLETTA ST SW, ALBANY, OR 97321-3846
(541) 928-2301
(541) 928-8493
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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