| Alameda Dental Llc | |
|
2422 Ne Fremont St Portland OR 97212-2509 | |
| (503) 287-1554 | |
| Not Available |
| Full Name | Alameda Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2422 Ne Fremont St, Portland, Oregon |
| Authorized Official Name and Position | Ronald C Selis (PRESIDENT) |
| Authorized Official Contact | 5032871554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alameda Dental Llc 2422 Ne Fremont St Portland OR 97212-2509 Ph: () - | Alameda Dental Llc 2422 Ne Fremont St Portland OR 97212-2509 Ph: (503) 287-1554 |
| NPI Number | 1972854628 |
|---|---|
| Provider Enumeration Date | 09/20/2012 |
| Last Update Date | 09/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972854628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D6582 (Oregon) | Primary |
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