FOREST GROVE KIDS' DENTIST, LLC

FOREST GROVE, OR
NPI1932524956
Entity TypeOrganization
Authorized ContactTIMOTHY RICHARDSON
Owner
360-852-0809
Organization Subpart ?Yes
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: OR  D9577)
Enumeration Date2014-02-27
Last Update Date2014-02-27
Business Address
FOREST GROVE KIDS' DENTIST, LLC
2742 19TH AVE
FOREST GROVE, OR 97116-2623
Phone number: 360-852-0809
Mailing Address
FOREST GROVE KIDS' DENTIST, LLC
2742 19TH AVE
FOREST GROVE, OR 97116-2623
Phone number:
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