| Emergency Tooth Doctor, P.c. | |
|
13779 Sw Farmington Rd Beaverton OR 97005-2603 | |
| (503) 641-2200 | |
| (503) 641-2220 |
| Full Name | Emergency Tooth Doctor, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 13779 Sw Farmington Rd, Beaverton, Oregon |
| Authorized Official Name and Position | Thomas Pham (DOCTOR) |
| Authorized Official Contact | 5036412200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emergency Tooth Doctor, P.c. 13779 Sw Farmington Rd Beaverton OR 97005-2603 Ph: (503) 641-2200 | Emergency Tooth Doctor, P.c. 13779 Sw Farmington Rd Beaverton OR 97005-2603 Ph: (503) 641-2200 |
| NPI Number | 1679788822 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679788822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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