ACORN DENTISTRY FOR KIDS - KEIZER, LLC

KEIZER, OR
NPI1134661606
Entity TypeOrganization
Authorized ContactTIMOTHY RICHARDSON
Owner
360-852-0809
Organization Subpart ?Yes
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: OR  D9577)
Enumeration Date2016-11-15
Last Update Date2016-11-15
Business Address
ACORN DENTISTRY FOR KIDS - KEIZER, LLC
4817 RIVER RD N
KEIZER, OR 97303-4537
Phone number: 360-852-0809
Mailing Address
ACORN DENTISTRY FOR KIDS - KEIZER, LLC
4817 RIVER RD N
KEIZER, OR 97303-4537
Phone number: 360-852-0809
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