Bull Mountain Family Dentistry, Pc | |
15885 Sw 116th Ave King City OR 97224-2647 | |
(503) 901-7345 | |
Not Available |
Full Name | Bull Mountain Family Dentistry, Pc |
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Speciality | Clinic/center - Dental |
Location | 15885 Sw 116th Ave, King City, Oregon |
Authorized Official Name and Position | Nirvana Schuyler (DENTIST/PRESIDENT) |
Authorized Official Contact | 5039017345 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bull Mountain Family Dentistry, Pc 15885 Sw 116th Ave King City OR 97224-2647 Ph: (503) 901-7345 | Bull Mountain Family Dentistry, Pc 15885 Sw 116th Ave King City OR 97224-2647 Ph: (503) 901-7345 |
NPI Number | 1285919555 |
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Provider Enumeration Date | 10/18/2011 |
Last Update Date | 10/18/2011 |
Identifier | Type | State | Issuer |
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1285919555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | D8974 (Oregon) | Primary |