| Aspen Dental Keizer Or Llc | |
|
2535 Jorie Ln Ne Ste 104 Keizer OR 97303-4137 | |
| (503) 463-4000 | |
| Not Available |
| Full Name | Aspen Dental Keizer Or Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2535 Jorie Ln Ne Ste 104, Keizer, Oregon |
| Authorized Official Name and Position | Jeffrey Livingston (OWNER) |
| Authorized Official Contact | 5034634000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Keizer Or Llc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Aspen Dental Keizer Or Llc 2535 Jorie Ln Ne Ste 104 Keizer OR 97303-4137 Ph: (503) 463-4000 |
| NPI Number | 1114517091 |
|---|---|
| Provider Enumeration Date | 01/25/2021 |
| Last Update Date | 06/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114517091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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