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Contact Information

MOLALLA DENTAL CLINIC P.C.
175 GRANGE AVE
MOLALLA, OR97038
 Phone: 503-829-9734
 Fax: 877-247-4991
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for MOLALLA DENTAL CLINIC P.C.

NPI Number 1104065184
LBN Legal business name MOLALLA DENTAL CLINIC P.C.
Authorized official JATINDER DHADLI - (DENTIST OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2009
Last updated 05/21/2014 - About 12 years ago
Identifiers
OR License # D7660
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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