| Lake Grove Dental | |
|
16455 Boones Ferry Rd Ste A Lake Oswego OR 97035-4367 | |
| (503) 636-3641 | |
| (503) 636-8159 |
| Full Name | Lake Grove Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16455 Boones Ferry Rd Ste A, Lake Oswego, Oregon |
| Authorized Official Name and Position | Catherine Gw Maurer (OFFICE MANAGER) |
| Authorized Official Contact | 5036363641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Grove Dental 16455 Boones Ferry Rd Ste A Lake Oswego OR 97035-4367 Ph: (503) 636-3641 | Lake Grove Dental 16455 Boones Ferry Rd Ste A Lake Oswego OR 97035-4367 Ph: (503) 636-3641 |
| NPI Number | 1528235314 |
|---|---|
| Provider Enumeration Date | 05/12/2008 |
| Last Update Date | 05/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528235314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3288 (Oregon) | Primary |
Ryan Randol Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3993 Lake Grove Ave, Lake Oswego, OR 97035 Phone: 503-636-0055 | |
Mayerle & Tydeman, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14800 Kruse Oaks Blvd Ste A, Lake Oswego, OR 97035 Phone: 503-684-2944 Fax: 503-624-6335 | |
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Oral Health Outreach, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4949 Meadows Rd, Suite 475, Lake Oswego, OR 97035 Phone: 503-702-1113 Fax: 503-697-1990 | |
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