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Lisa M Gitelson Dmd Pc
Dental Clinic/Center in Keizer, Oregon
NPI 1841283421

Lisa M Gitelson Dmd Pc is a Dental Clinic/Center based in Keizer, OR and is specialized in Dental. Lisa M Gitelson Dmd Pc practices in Keizer, OR. The NPI Number for Lisa M Gitelson Dmd Pc is 1841283421 and holds a License No. D7623 (Oregon).

The current practice location address for Lisa M Gitelson Dmd Pc is 4734 River Rd N, Keizer, OR and can be reached out via phone at 503-463-4663 and via fax at 503-463-4666.

Location: 4734 River Rd N, Keizer, OR, 97303-4536
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841283421
Provider Name
Lisa M Gitelson Dmd Pc
Credential
Provider Entity Type
Organization
Address
4734 River Rd N, Keizer, OR, 97303-4536
Phone Number
503-463-4663
Fax Number
503-463-4666
Provider Enumeration Date
08/29/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4734 River Rd N
City
Keizer
State
Oregon
Zip
97303-4536
Phone Number
503-463-4663
Fax Number
503-463-4666
person
Provider Business Mailing Address Details
Address
4734 River Rd N
City
Keizer
State
Oregon
Zip
97303-4536
Phone Number
503-463-4663
Fax Number
503-463-4666
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
D7623 (Oregon)
Definition
Definition to come...
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