WILLAMETTE DENTAL GROUP

SALEM, OR
NPI1992182026
Entity TypeOrganization
Authorized ContactCAMILLE STARK
Cpcs Credentialing Specialist
503-952-2125
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D8124)
Enumeration Date2015-04-27
Last Update Date2015-04-27
Business Address
WILLAMETTE DENTAL GROUP
3490 LANCASTER DR NE
SALEM, OR 97305-1356
Phone number: 503-540-9041
Mailing Address
WILLAMETTE DENTAL GROUP
6950 NE CAMPUS WAY
HILLSBORO, OR 97124-5611
Phone number: