RUSSELL MODERN DENTISTRY, PC

PORTLAND, OR
NPI1063173466
Entity TypeOrganization
Authorized ContactSUMEET S. PANDHOH
Owner
503-295-2120
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2022-01-07
Last Update Date2022-01-07
Business Address
RUSSELL MODERN DENTISTRY, PC
1710 NE 122ND AVE
PORTLAND, OR 97230-1939
Phone number: 503-295-2120
Mailing Address
RUSSELL MODERN DENTISTRY, PC
PO BOX 920050
DALLAS, TX 75392-0050
Phone number: 714-845-8890
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