Hillsboro Dentist Office Pc | |
2247 Se Tualatin Valley Hwy Hillsboro OR 97123 | |
(503) 689-8584 | |
(503) 427-9399 |
Full Name | Hillsboro Dentist Office Pc |
---|---|
Speciality | Dentist |
Location | 2247 Se Tualatin Valley Hwy, Hillsboro, Oregon |
Authorized Official Name and Position | Todd R Cockrell (OWNER) |
Authorized Official Contact | 5036898584 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hillsboro Dentist Office Pc 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Hillsboro Dentist Office Pc 2247 Se Tualatin Valley Hwy Hillsboro OR 97123 Ph: (503) 689-8584 |
NPI Number | 1225552466 |
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Provider Enumeration Date | 07/31/2017 |
Last Update Date | 07/31/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225552466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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