| Lancaster Dental, Llc | |
|
1640 Lancaster Dr Ne Salem OR 97301-1922 | |
| (503) 364-9422 | |
| Not Available |
| Full Name | Lancaster Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1640 Lancaster Dr Ne, Salem, Oregon |
| Authorized Official Name and Position | Geoffrey Berg (OWNER) |
| Authorized Official Contact | 5419282301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lancaster Dental, Llc 2825 Willetta St Sw Albany OR 97321-3846 Ph: (541) 928-2301 | Lancaster Dental, Llc 1640 Lancaster Dr Ne Salem OR 97301-1922 Ph: (503) 364-9422 |
| NPI Number | 1225375207 |
|---|---|
| Provider Enumeration Date | 01/10/2013 |
| Last Update Date | 01/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225375207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Oregon) | Primary |
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