| Emergency Tooth Doctor Tigard Office | |
|
14465 Sw Pacific Hwy Tigard OR 97224 | |
| (503) 209-9935 | |
| (503) 256-6909 |
| Full Name | Emergency Tooth Doctor Tigard Office |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14465 Sw Pacific Hwy, Tigard, Oregon |
| Authorized Official Name and Position | Thomas T Pham (PRESIDENT) |
| Authorized Official Contact | 9712266233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emergency Tooth Doctor Tigard Office 14465 Sw Pacific Hwy Tigard OR 97224 Ph: (503) 209-9935 | Emergency Tooth Doctor Tigard Office 14465 Sw Pacific Hwy Tigard OR 97224 Ph: (503) 209-9935 |
| NPI Number | 1790267128 |
|---|---|
| Provider Enumeration Date | 09/01/2018 |
| Last Update Date | 09/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790267128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D8300 (Oregon) | Primary |
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