| Boone's Landing Dental Center, Llc | |
|
30485 Sw Boones Ferry Rd Suite 203 Wilsonville OR 97070-7845 | |
| (503) 682-3743 | |
| (503) 682-1279 |
| Full Name | Boone's Landing Dental Center, Llc |
|---|---|
| Speciality | Dentist |
| Location | 30485 Sw Boones Ferry Rd, Wilsonville, Oregon |
| Authorized Official Name and Position | Margaret Boone (DENTIST) |
| Authorized Official Contact | 5036823743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boone's Landing Dental Center, Llc 29970 Sw Town Center Loop W Suite D Wilsonville OR 97070-7429 Ph: (503) 682-3743 | Boone's Landing Dental Center, Llc 30485 Sw Boones Ferry Rd Suite 203 Wilsonville OR 97070-7845 Ph: (503) 682-3743 |
| NPI Number | 1134472723 |
|---|---|
| Provider Enumeration Date | 10/19/2012 |
| Last Update Date | 10/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134472723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D6595 (Oregon) | Primary |
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