| Hazelnut Dental Llc | |
|
10773 Sw Beaverton-hillsdale Hwy Ste B Beaverton OR 97005 | |
| (503) 828-0928 | |
| Not Available |
| Full Name | Hazelnut Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10773 Sw Beaverton-hillsdale Hwy, Beaverton, Oregon |
| Authorized Official Name and Position | Joshua Kim (OWNER) |
| Authorized Official Contact | 5038280928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hazelnut Dental Llc 10773 Sw Beaverton-hillsdale Hwy Ste B Beaverton OR 97005 Ph: (503) 828-0928 | Hazelnut Dental Llc 10773 Sw Beaverton-hillsdale Hwy Ste B Beaverton OR 97005 Ph: (503) 828-0928 |
| NPI Number | 1285193003 |
|---|---|
| Provider Enumeration Date | 03/19/2019 |
| Last Update Date | 03/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285193003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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