| Orchard Heights Dental Llc | |
|
675 Orchard Heights Rd Nw Suite 100 Salem OR 97304-3186 | |
| (503) 370-8787 | |
| (503) 585-9559 |
| Full Name | Orchard Heights Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 675 Orchard Heights Rd Nw, Salem, Oregon |
| Authorized Official Name and Position | Kenneth Alan Murray (OWNER) |
| Authorized Official Contact | 5033708787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchard Heights Dental Llc 675 Orchard Heights Rd Nw Suite 100 Salem OR 97304-3186 Ph: (503) 370-8787 | Orchard Heights Dental Llc 675 Orchard Heights Rd Nw Suite 100 Salem OR 97304-3186 Ph: (503) 370-8787 |
| NPI Number | 1831468958 |
|---|---|
| Provider Enumeration Date | 12/19/2011 |
| Last Update Date | 12/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831468958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D5977 (Oregon) | Primary |
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