| Cornelius Tendercare Dental Pc | |
|
1890 Baseline St Cornelius OR 97113-8208 | |
| (503) 357-0004 | |
| (503) 359-8856 |
| Full Name | Cornelius Tendercare Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1890 Baseline St, Cornelius, Oregon |
| Authorized Official Name and Position | Justin R Marostica (PRESIDENT) |
| Authorized Official Contact | 5038580741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornelius Tendercare Dental Pc 1890 Baseline St Cornelius OR 97113-8208 Ph: (503) 357-0004 | Cornelius Tendercare Dental Pc 1890 Baseline St Cornelius OR 97113-8208 Ph: (503) 357-0004 |
| NPI Number | 1922424738 |
|---|---|
| Provider Enumeration Date | 03/17/2014 |
| Last Update Date | 03/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922424738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9419 (Oregon) | Primary |
Virginia Garcia Memorial Health Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 N 11th Ave, Cornelius, OR 97113 Phone: 503-359-8505 Fax: 503-359-8535 | |
Cornelius Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 926 Baseline St, Cornelius, OR 97113 Phone: 503-359-0339 |