PHILIP JORDAN LA LANDE

SALEM, OR
NPI1699258087
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D10904)
Enumeration Date2018-09-11
Last Update Date2018-09-25
Business Address
Dr. PHILIP JORDAN LA LANDE DMD
1880 LANCASTER DR NE STE 104
SALEM, OR 97305
Phone number: 503-587-9949
Mailing Address
Dr. PHILIP JORDAN LA LANDE DMD
1880 LANCASTER DR NE STE 104
SALEM, OR 97305-1040
Phone number: 503-587-9949