SANDCREEK DENTAL LLC

TILLAMOOK, OR
NPI1952669657
Entity TypeOrganization
Authorized ContactCYRUS JAVADI
Sole Member
503-801-5363
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: OR  D9114)
Enumeration Date2012-05-01
Last Update Date2012-05-01
Business Address
SANDCREEK DENTAL LLC
1115 MAIN AVE
TILLAMOOK, OR 97141-3819
Phone number: 503-842-7788
Mailing Address
SANDCREEK DENTAL LLC
1115 MAIN AVE
TILLAMOOK, OR 97141-3819
Phone number: