NW IMPLANT CENTER LLC

PORTLAND, OR
NPI1861082638
Entity TypeOrganization
Authorized ContactTIN LE
Owner/Dentist
503-544-4889
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2021-01-25
Last Update Date2021-01-25
Business Address
NW IMPLANT CENTER LLC
1002 NE 122ND AVE
PORTLAND, OR 97230
Phone number: 503-922-2020
Mailing Address
NW IMPLANT CENTER LLC
1002 NE 122ND AVE
PORTLAND, OR 97230
Phone number: 503-922-2020
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