Elite Endodontics | |
338 Ne 181st Ave Portland OR 97230-6618 | |
(503) 339-0019 | |
Not Available |
Full Name | Elite Endodontics |
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Speciality | Clinic/center - Dental |
Location | 338 Ne 181st Ave, Portland, Oregon |
Authorized Official Name and Position | Steven Elkhal (ENDODONTIST) |
Authorized Official Contact | 5033390019 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elite Endodontics 338 Ne 181st Ave Portland OR 97230-6618 Ph: () - | Elite Endodontics 338 Ne 181st Ave Portland OR 97230-6618 Ph: (503) 339-0019 |
NPI Number | 1063831709 |
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Provider Enumeration Date | 04/09/2014 |
Last Update Date | 04/09/2014 |
Identifier | Type | State | Issuer |
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1063831709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | D8724 (Oregon) | Primary |
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