SOUTHEAST DENTAL PC

PORTLAND, OR
NPI1700982451
Entity TypeOrganization
Authorized ContactOSAMA S BETROUS
Dentist
503-760-7983
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D6838)
Enumeration Date2006-09-16
Last Update Date2020-08-22
Business Address
SOUTHEAST DENTAL PC
12661 SE POWELL D
PORTLAND, OR 97236-3900
Phone number: 503-760-7983
Mailing Address
SOUTHEAST DENTAL PC
12661 SE POWELL D
PORTLAND, OR 97236-3400
Phone number: 503-760-7983
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