| Definition Dental | |
|
12850 Sw Canyon Rd Beaverton OR 97005-2166 | |
| (503) 644-8900 | |
| Not Available |
| Full Name | Definition Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12850 Sw Canyon Rd, Beaverton, Oregon |
| Authorized Official Name and Position | Rohini Agarwal (PRESIDENT) |
| Authorized Official Contact | 7342392920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Definition Dental 12850 Sw Canyon Rd Beaverton OR 97005-2166 Ph: (503) 644-8900 | Definition Dental 12850 Sw Canyon Rd Beaverton OR 97005-2166 Ph: (503) 644-8900 |
| NPI Number | 1598209835 |
|---|---|
| Provider Enumeration Date | 12/06/2016 |
| Last Update Date | 12/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598209835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Oregon) | Primary |
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