| Division Family Dental Llc | |
|
2484 Ne Division St Gresham OR 97030-6020 | |
| (503) 559-6533 | |
| Not Available |
| Full Name | Division Family Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2484 Ne Division St, Gresham, Oregon |
| Authorized Official Name and Position | Teresa Nguyen (DENTIST) |
| Authorized Official Contact | 5035596533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Division Family Dental Llc 2484 Ne Division St Gresham OR 97030-6020 Ph: () - | Division Family Dental Llc 2484 Ne Division St Gresham OR 97030-6020 Ph: (503) 559-6533 |
| NPI Number | 1538614458 |
|---|---|
| Provider Enumeration Date | 08/21/2016 |
| Last Update Date | 08/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538614458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D10228 (Oregon) | Primary |
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