PEDIATRIC DENTISTRY OF PORTLAND LLC

PORTLAND, OR
NPI1679924526
Entity TypeOrganization
Authorized ContactNOEL LARSEN
Owner
503-284-5678
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist Pediatric Dentistry
(Licence: OR  D6853)
Enumeration Date2016-06-22
Last Update Date2016-06-22
Business Address
PEDIATRIC DENTISTRY OF PORTLAND LLC
2811 NE WASCO ST
PORTLAND, OR 97232-1771
Phone number: 503-284-5678
Mailing Address
PEDIATRIC DENTISTRY OF PORTLAND LLC
2811 NE WASCO ST
PORTLAND, OR 97232-1771
Phone number:
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