PETTYGROVE DENTAL LLC

PORTLAND, OR
NPI1558801597
Entity TypeOrganization
Authorized ContactCARMEL DUDLEY DORAN
Dentist
503-224-6317
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D9708)
Enumeration Date2017-02-23
Last Update Date2017-02-23
Business Address
PETTYGROVE DENTAL LLC
2267 NW PETTYGROVE ST
PORTLAND, OR 97210-2760
Phone number: 503-224-6317
Mailing Address
PETTYGROVE DENTAL LLC
2267 NW PETTYGROVE ST
PORTLAND, OR 97210-2760
Phone number: 503-224-6317