ELM STREET DENTAL LLC
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1003295015- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1036 ELM ST SW, ALBANY, OR, 973212039
- Phone
- (541) 928-2993
- Fax
- (541) 926-0339
Specialties & Taxonomies
Dentist, General Practice
License: OR #D9733
Dentist, General Practice
Primary License: OR #D7193