| Beaverton Dental Works | |
|
4225 Sw 109th Ave Beaverton OR 97005-3028 | |
| (503) 644-3188 | |
| (503) 672-9866 |
| Full Name | Beaverton Dental Works |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4225 Sw 109th Ave, Beaverton, Oregon |
| Authorized Official Name and Position | Amelia Schmechel (PRACTICE MANAGER) |
| Authorized Official Contact | 5036443188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaverton Dental Works 4225 Sw 109th Ave Beaverton OR 97005-3028 Ph: (503) 644-3188 | Beaverton Dental Works 4225 Sw 109th Ave Beaverton OR 97005-3028 Ph: (503) 644-3188 |
| NPI Number | 1801189386 |
|---|---|
| Provider Enumeration Date | 05/17/2011 |
| Last Update Date | 07/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801189386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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