LIFE BLOOM DENTAL LLC

PORTLAND, OR
NPI1821654146
Entity TypeOrganization
Authorized ContactDANIEL CHO
Owner Dentist
971-222-6511
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2019-05-13
Last Update Date2019-05-13
Business Address
LIFE BLOOM DENTAL LLC
11786 SW BARNES RD STE 340
PORTLAND, OR 97225-5930
Phone number: 503-646-4600
Mailing Address
LIFE BLOOM DENTAL LLC
11786 SW BARNES RD STE 340
PORTLAND, OR 97225-5930
Phone number: 503-646-4600
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