is a Dental in Tualatin, Oregon. practices all healthcare services and medical treatments related to Dental. The NPI Number for is 1790942779. The last update date is .
's current location address is 18789 Sw Boones Ferry Rd, Tualatin, Oregon. You can contact this provider via phone number 5036926535 and fax number 5036912831. The mailing address for is 18789 Sw Boones Ferry Rd, Tualatin, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 18789 Sw Boones Ferry Rd, Tualatin, Oregon |
Phone Number | 5036926535 |
Fax Number | 5036912831 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1790942779 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 18789 Sw Boones Ferry Rd |
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City | Tualatin |
State | Oregon (OR) |
Post Code | 970628412 |
Phone Number | 5036926535 |
Fax Number | 5036912831 |
Provider's Primary Taxonomy Detail
Speciality | Dental |
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Taxonomy | 261Qd0000X |
Licence No | 6424 |
Definition: Provides general and specialized dental care and oral surgery. |
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