| Da Costa Dental | |
|
11995 Sw Pacific Hwy Tigard OR 97223-6474 | |
| (503) 639-6900 | |
| (503) 684-8167 |
| Full Name | Da Costa Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11995 Sw Pacific Hwy, Tigard, Oregon |
| Authorized Official Name and Position | Bruno Cristalli Da Costa (OWNER/PRESIDENT) |
| Authorized Official Contact | 5036396900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Da Costa Dental 11995 Sw Pacific Hwy Tigard OR 97223-6474 Ph: (503) 639-6900 | Da Costa Dental 11995 Sw Pacific Hwy Tigard OR 97223-6474 Ph: (503) 639-6900 |
| NPI Number | 1780851105 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780851105 | NPI | - | NPPES |
| 1275532384 | Other | OR | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D8550 (Oregon) | Primary |
Dental Professionals Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15495 Sw Sequoia Pkwy Ste 120, Tigard, OR 97224 Phone: 503-684-8445 | |
David Streiff Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Sw Hazelfern Rd, Suite 240, Tigard, OR 97224 Phone: 503-431-3200 | |
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Oregon Mobile Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11820 Sw King James Pl Ste 10j, Tigard, OR 97224 Phone: 503-616-5000 | |
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