Burlingame Dental Arts | |
7471 Sw Barbur Blvd Portland OR 97219-2809 | |
(503) 246-8447 | |
(503) 245-6631 |
Full Name | Burlingame Dental Arts |
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Speciality | Dentist - General Practice |
Location | 7471 Sw Barbur Blvd, Portland, Oregon |
Authorized Official Name and Position | Diane T Lorenzen (OFFICE MANAGER) |
Authorized Official Contact | 5032468447 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Burlingame Dental Arts 7471 Sw Barbur Blvd Portland OR 97219-2809 Ph: (503) 246-8447 | Burlingame Dental Arts 7471 Sw Barbur Blvd Portland OR 97219-2809 Ph: (503) 246-8447 |
NPI Number | 1962506113 |
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Provider Enumeration Date | 09/09/2006 |
Last Update Date | 07/22/2010 |
Identifier | Type | State | Issuer |
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1962506113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6336 (Oregon) | Secondary |
1223G0001X | Dentist - General Practice | 6344 (Oregon) | Primary |
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