NE 82ND AVENUE DENTAL LLC

PORTLAND, OR
NPI1700192184
Entity TypeOrganization
Authorized ContactSARAH NICHOL
Office Manager
503-254-0897
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: OR  D8506)
Additional Taxonomies261QD0000X Clinic/Center, Dental
(Licence: OR  D9389)
261QD0000X Clinic/Center, Dental
(Licence: OR  D8961)
Enumeration Date2010-08-24
Last Update Date2010-08-24
Business Address
NE 82ND AVENUE DENTAL LLC
2150 NE 82ND AVE
PORTLAND, OR 97220-5607
Phone number: 503-254-0897
Mailing Address
NE 82ND AVENUE DENTAL LLC
2150 NE 82ND AVE
PORTLAND, OR 97220-5607
Phone number: 503-254-0897