BETHANY FAMILY DENTAL PC

PORTLAND, OR
NPI1053857433
Entity TypeOrganization
Authorized ContactLACEY WELIN
Insurance COO Rdinator
503-617-7384
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: OR  D6857)
Enumeration Date2017-01-10
Last Update Date2017-01-10
Business Address
BETHANY FAMILY DENTAL PC
4732 NW BETHANY BLVD STE G-2
PORTLAND, OR 97229-9410
Phone number: 503-617-7384
Mailing Address
BETHANY FAMILY DENTAL PC
4732 NW BETHANY BLVD STE G-2
PORTLAND, OR 97229-9410
Phone number: 503-617-7384