ROOTS DENTAL BROADWAY LLC

PORTLAND, OR
NPI1568977817
Former Legal Business NameNE DENTAL ASSOCIATES
Entity TypeOrganization
Authorized ContactRYAN SMITH
Manager
503-234-7870
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
(Licence: OR  D10629)
Enumeration Date2017-12-08
Last Update Date2017-12-08
Business Address
ROOTS DENTAL BROADWAY LLC
2525 NE BROADWAY ST STE 200
PORTLAND, OR 97232-3527
Phone number: 503-234-7870
Mailing Address
ROOTS DENTAL BROADWAY LLC
2525 NE BROADWAY ST STE 200
PORTLAND, OR 97232-3527
Phone number: