NW PORTLAND DENTAL LLC

PORTLAND, OR
NPI1538851241
Entity TypeOrganization
Authorized ContactSEAN WASDEN
COO
208-965-9415
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2023-05-22
Last Update Date2023-05-22
Business Address
NW PORTLAND DENTAL LLC
2250 NW FLANDERS ST STE 109
PORTLAND, OR 97210-5409
Phone number: 503-228-6294
Mailing Address
NW PORTLAND DENTAL LLC
624 3RD ST S
NAMPA, ID 83651-3840
Phone number:
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