MOUNTAINSIDE GENERAL DENTISTRY

PORTLAND, OR
NPI1215104476
Entity TypeOrganization
Authorized ContactLENORE SUPNET
Dentist
503-762-2525
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D7895)
Enumeration Date2008-05-15
Last Update Date2008-05-15
Business Address
MOUNTAINSIDE GENERAL DENTISTRY
3740 SE 122ND AVE
PORTLAND, OR 97236-3405
Phone number: 503-762-2525
Mailing Address
MOUNTAINSIDE GENERAL DENTISTRY
3740 SE 122ND AVE
PORTLAND, OR 97236-3405
Phone number: 503-762-2525
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