NPI 1003245606

Ponderosa Dental Arts, PC

Organisation Dentist Oregon City, OR

Practice location

Address: 1174 Molalla Ave, Oregon City, OR 97045-3770
Phone: (503) 656-6464
Fax: (503) 577-4677

Authorised official

Name: Eric D. Berkner
Title: Member/Owner
Phone: (506) 656-6464

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D9967 (OR)

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Registry record

NPI: 1003245606
Entity type: Organization
NPI issued: 4 Nov 2013
Record last updated: 4 Nov 2013

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.