| Avenue Dental Care | |
|
10001 Se Sunnyside Rd Suite 250 Clackamas OR 97015-5746 | |
| (503) 786-3000 | |
| Not Available |
| Full Name | Avenue Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 10001 Se Sunnyside Rd, Clackamas, Oregon |
| Authorized Official Name and Position | Mahadeep S Virk (OWNER) |
| Authorized Official Contact | 5037863000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avenue Dental Care 10001 Se Sunnyside Rd Suite 250 Clackamas OR 97015-5746 Ph: (503) 786-3000 | Avenue Dental Care 10001 Se Sunnyside Rd Suite 250 Clackamas OR 97015-5746 Ph: (503) 786-3000 |
| NPI Number | 1306024880 |
|---|---|
| Provider Enumeration Date | 02/06/2008 |
| Last Update Date | 02/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306024880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D8233 (Oregon) | Primary |
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