82ND DRIVE DENTAL CLINIC

CLACKAMAS, OR
NPI1740683465
Entity TypeOrganization
Authorized ContactBRADLEY W CARPENTER
Owner/ Dentist
503-655-7250
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D8618)
Enumeration Date2014-10-08
Last Update Date2014-10-08
Business Address
82ND DRIVE DENTAL CLINIC
15480 SE 82ND DR
CLACKAMAS, OR 97015-9633
Phone number: 503-655-7250
Mailing Address
82ND DRIVE DENTAL CLINIC
PO BOX 446
CLACKAMAS, OR 97015-0446
Phone number: 503-655-7250
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