NPI 1003196536

Shoreview Dental, Lls

Organisation General Practice Dentistry Keizer, OR

Practice location

Address: 5885 Shoreview Ln N, Keizer, OR 97303-3866
Phone: (503) 393-5133
Fax: (503) 393-2439

Authorised official

Name: Steven Ralph Duffin
Title: Owner/Dentist
Phone: (503) 393-5133

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D7025 (OR)

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Registry record

NPI: 1003196536
Entity type: Organization
NPI issued: 29 Aug 2011
Record last updated: 29 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.