ZOLA DENTAL RALEIGH PARK LLC, DR. ANTHONY PAVENTY DMD

PORTLAND, OR
NPI1891450185
Entity TypeOrganization
Authorized ContactCRISTINA WATERMAN
Associate Dentist
503-292-6773
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2021-11-02
Last Update Date2021-11-02
Business Address
ZOLA DENTAL RALEIGH PARK LLC, DR. ANTHONY PAVENTY DMD
8568 SW APPLE WAY
PORTLAND, OR 97225-1772
Phone number: 503-292-6773
Mailing Address
ZOLA DENTAL RALEIGH PARK LLC, DR. ANTHONY PAVENTY DMD
8568 SW APPLE WAY
PORTLAND, OR 97225-1772
Phone number: 503-292-6773