WILDWOOD DENTAL LLC

PORTLAND, OR
NPI1598238065
Entity TypeOrganization
Authorized ContactROSS HART
Dentist
971-413-0761
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2019-01-08
Last Update Date2019-01-08
Business Address
WILDWOOD DENTAL LLC
8225 N LOMBARD ST STE 103
PORTLAND, OR 97203-3784
Phone number: 971-413-0761
Mailing Address
WILDWOOD DENTAL LLC
8225 N LOMBARD ST STE 103
PORTLAND, OR 97203-3784
Phone number: 971-413-0761