GLISAN DENTAL CORPORATION

PORTLAND, OR
NPI1316178734
Entity TypeOrganization
Authorized ContactTAN BA PHAM
Dentist
503-208-2220
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2009-08-03
Last Update Date2009-08-03
Business Address
GLISAN DENTAL CORPORATION
7990 NE GLISAN ST
PORTLAND, OR 97213-7040
Phone number: 503-208-2220
Mailing Address
GLISAN DENTAL CORPORATION
7990 NE GLISAN ST
PORTLAND, OR 97213-7040
Phone number: 503-208-2220
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