| Big Tooth Little Tooth Pediatric Dentistry Pc | |
|
2020 8th Ave Ste 121 West Linn OR 97068-4657 | |
| (503) 305-6505 | |
| Not Available |
| Full Name | Big Tooth Little Tooth Pediatric Dentistry Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2020 8th Ave Ste 121, West Linn, Oregon |
| Authorized Official Name and Position | Benjamin Pham (PRESIDENT) |
| Authorized Official Contact | 5033056505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Tooth Little Tooth Pediatric Dentistry Pc 2020 8th Ave Ste 121 West Linn OR 97068-4657 Ph: () - | Big Tooth Little Tooth Pediatric Dentistry Pc 2020 8th Ave Ste 121 West Linn OR 97068-4657 Ph: (503) 305-6505 |
| NPI Number | 1366923245 |
|---|---|
| Provider Enumeration Date | 08/28/2018 |
| Last Update Date | 08/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366923245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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