TIGARD CITY DENTAL PC

TIGARD, OR
NPI1184071003
Entity TypeOrganization
Authorized ContactJOHN D CHUNG
Owner
503-679-7730
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  d6995)
Enumeration Date2016-05-20
Last Update Date2016-05-20
Business Address
TIGARD CITY DENTAL PC
11565 SW HALL BLVD STE A
TIGARD, OR 97223-8493
Phone number: 503-620-2131
Mailing Address
TIGARD CITY DENTAL PC
11565 SW HALL BLVD STE A
TIGARD, OR 97223-8493
Phone number: 503-620-2131