PACIFIC NORTHWEST DENTAL, LLC

BEAVERTON, OR
NPI1689292781
Entity TypeOrganization
Authorized ContactRYAN M BRADLEY
Owner
971-998-3000
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2020-07-06
Last Update Date2020-07-06
Business Address
PACIFIC NORTHWEST DENTAL, LLC
12725 SW 2ND ST
BEAVERTON, OR 97005-2708
Phone number: 503-644-1953
Mailing Address
PACIFIC NORTHWEST DENTAL, LLC
11263 SW SPRINGWOOD DR
TIGARD, OR 97223-3320
Phone number: 971-998-3000
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