| Clackamas Town Dental, Llc | |
|
9225 Se Sunnyside Road Clackamas OR 97086 | |
| (503) 905-3380 | |
| Not Available |
| Full Name | Clackamas Town Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 9225 Se Sunnyside Road, Clackamas, Oregon |
| Authorized Official Name and Position | Sarah Nichol (DIRECTOR OF FINANCES) |
| Authorized Official Contact | 5038808581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clackamas Town Dental, Llc 9225 Se Sunnyside Road Clackamas OR 97015 Ph: () - | Clackamas Town Dental, Llc 9225 Se Sunnyside Road Clackamas OR 97086 Ph: (503) 905-3380 |
| NPI Number | 1699027672 |
|---|---|
| Provider Enumeration Date | 10/15/2012 |
| Last Update Date | 10/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699027672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Oregon) | Primary |
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