Woodburn Dental Group, P.c.

NPI 1568786911 - Dentist - 122300000X

NPI Details
NPI 1568786911
Enumeration Date 03/15/2010
Last Updated 03/15/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name STEVEN STEVEN
Position OWNER
Phone (503) 982-9428
Fax (503) 982-5048
Practice Location
1034 N. BOONES FERRY RD.
WOODBURN OR, 97071, US
Phone (503) 982-9428
Fax (503) 982-5048
Business Location
1034 N. BOONES FERRY RD.
WOODBURN OR, 97071, US
Phone (503) 982-9428
Fax (503) 982-5048
Toxanomy
Taxonomy Code 122300000X
License State Oregon
License Number D6259
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According to our database, Woodburn Dental Group, P.c. NPI is 1568786911, taxonomy code is 122300000X and license number is D6259, license state is located at Oregon. Woodburn Dental Group, P.c. physically located at 1034 N. Boones Ferry Rd., Woodburn OR, 97071. NPI Number 1033115704 has the healthcare provider type.

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1568786911 NPI number is provided on an as is basis without warranty of any kind. 1568786911 is maintained by the National Plan & Provider Enumeration System. The contents of Woodburn Dental Group, P.c. are for informational purposes only.