| Mckenzie Dental | |
|
24540 E Welches Rd Welches OR 97067-0347 | |
| (503) 622-3085 | |
| Not Available |
| Full Name | Mckenzie Dental |
|---|---|
| Speciality | Dentist |
| Location | 24540 E Welches Rd, Welches, Oregon |
| Authorized Official Name and Position | Robert H Kelly (OWNER) |
| Authorized Official Contact | 8086403981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mckenzie Dental 24540 E Welches Rd Welches OR 97067-0347 Ph: (503) 622-3085 | Mckenzie Dental 24540 E Welches Rd Welches OR 97067-0347 Ph: (503) 622-3085 |
| NPI Number | 1245669456 |
|---|---|
| Provider Enumeration Date | 11/07/2013 |
| Last Update Date | 11/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245669456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D9179 (Oregon) | Primary |
Mckenzie Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24540 E Welches Rd, Welches, OR 97067 Phone: 503-622-3085 Fax: 503-622-3753 |