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1235334012
GLEN CREEK DENTAL LLC
SALEM, OR
NPI
1235334012
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Entity Type
Organization
Authorized Contact
JAMES E SHELTON
Owner
503-581-1142
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2007-06-20
Last Update Date
2020-08-22
Business Address
GLEN CREEK DENTAL LLC
470 GLEN CREEK RD NW SUITE 100
SALEM, OR 97304-3060
Phone number: 503-581-1142
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Mailing Address
GLEN CREEK DENTAL LLC
470 GLEN CREEK RD NW SUITE 100
SALEM, OR 97304-3060
Phone number: 503-581-1142
Copy
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