| Emergency Tooth Doctor Vancouver, P.c. | |
|
14665 Sw Millikan Way Beaverton OR 97003-2999 | |
| (503) 641-2200 | |
| (503) 641-2220 |
| Full Name | Emergency Tooth Doctor Vancouver, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14665 Sw Millikan Way, Beaverton, Oregon |
| Authorized Official Name and Position | Thomas T Pham (PRESIDENT/DENTIST) |
| Authorized Official Contact | 5036412200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emergency Tooth Doctor Vancouver, P.c. 400 W Fourth Plain Blvd Vancouver WA 98660-2141 Ph: (503) 641-2200 | Emergency Tooth Doctor Vancouver, P.c. 14665 Sw Millikan Way Beaverton OR 97003-2999 Ph: (503) 641-2200 |
| NPI Number | 1730578360 |
|---|---|
| Provider Enumeration Date | 01/20/2015 |
| Last Update Date | 01/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730578360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE 60190120 (Washington) | Primary |
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