Aspen Dental | |
2235 Nw Town Center Dr Beaverton OR 97006 | |
(503) 207-0510 | |
(503) 466-3975 |
Full Name | Aspen Dental |
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Speciality | Dentist |
Location | 2235 Nw Town Center Dr, Beaverton, Oregon |
Authorized Official Name and Position | Kala Sagar Madugula (OWNER) |
Authorized Official Contact | 3154546000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Aspen Dental Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | Aspen Dental 2235 Nw Town Center Dr Beaverton OR 97006 Ph: (503) 207-0510 |
NPI Number | 1760727234 |
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Provider Enumeration Date | 12/10/2012 |
Last Update Date | 12/10/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760727234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 9735 (Oregon) | Primary |
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