CLOUD NINE RALEIGH PARK DENTAL LLC

PORTLAND, OR
NPI1699467498
Entity TypeOrganization
Authorized ContactSEAN WASDEN
COO
208-965-9415
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2023-05-22
Last Update Date2023-05-22
Business Address
CLOUD NINE RALEIGH PARK DENTAL LLC
8568 SW APPLE WAY
PORTLAND, OR 97225-1772
Phone number: 503-292-6773
Mailing Address
CLOUD NINE RALEIGH PARK DENTAL LLC
624 3RD ST S
NAMPA, ID 83651-3840
Phone number: 208-965-9415
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