| Beaverton Sandy Dental Clinic Pc | |
|
12520 Sw 1st St Beaverton OR 97005-0550 | |
| (502) 646-5230 | |
| Not Available |
| Full Name | Beaverton Sandy Dental Clinic Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12520 Sw 1st St, Beaverton, Oregon |
| Authorized Official Name and Position | My Dang (DIRECTOR) |
| Authorized Official Contact | 5036465230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaverton Sandy Dental Clinic Pc 12520 Sw 1st St Beaverton OR 97005-0550 Ph: (502) 646-5230 | Beaverton Sandy Dental Clinic Pc 12520 Sw 1st St Beaverton OR 97005-0550 Ph: (502) 646-5230 |
| NPI Number | 1528574829 |
|---|---|
| Provider Enumeration Date | 12/21/2017 |
| Last Update Date | 12/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528574829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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