BRIDGEPORT DENTAL LLC

TIGARD, OR
NPI1093086415
Entity TypeOrganization
Authorized ContactGEROGE KANG
Dds
503-906-8600
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2012-01-17
Last Update Date2012-01-17
Business Address
BRIDGEPORT DENTAL LLC
18035 SW LOWER BOONES FERRY RD
TIGARD, OR 97224-7228
Phone number: 503-906-8600
Mailing Address
BRIDGEPORT DENTAL LLC
18035 SW LOWER BOONES FERRY RD
TIGARD, OR 97224-7228
Phone number: 503-906-8600