| Dental Health Associates Pc | |
|
1133 Se 122nd Ave Portland OR 97233-1111 | |
| (503) 252-1722 | |
| (503) 293-0902 |
| Full Name | Dental Health Associates Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1133 Se 122nd Ave, Portland, Oregon |
| Authorized Official Name and Position | Marc F Bianco (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 5032521722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Health Associates Pc 1133 Se 122nd Ave Dental Health Associates Pc Portland OR 97233-1111 Ph: (503) 252-1722 | Dental Health Associates Pc 1133 Se 122nd Ave Portland OR 97233-1111 Ph: (503) 252-1722 |
| NPI Number | 1306983010 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306983010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D6152 (Oregon) | Primary |
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