| Dental Professionals | |
|
15495 Sw Sequoia Pkwy Ste 120 Tigard OR 97224 | |
| (503) 684-8445 | |
| Not Available |
| Full Name | Dental Professionals |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15495 Sw Sequoia Pkwy Ste 120, Tigard, Oregon |
| Authorized Official Name and Position | Timothy J Houlihan (OWNER) |
| Authorized Official Contact | 9712752536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professionals 1990 Alpine Dr West Linn OR 97068-8626 Ph: (971) 275-2536 | Dental Professionals 15495 Sw Sequoia Pkwy Ste 120 Tigard OR 97224 Ph: (503) 684-8445 |
| NPI Number | 1003311465 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 06/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003311465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D8127 (Oregon) | Primary |
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