| Manami Yamaguchi Dmd Llc | |
|
15074 Bangy Rd Lake Oswego OR 97035-3110 | |
| (503) 635-3306 | |
| Not Available |
| Full Name | Manami Yamaguchi Dmd Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15074 Bangy Rd, Lake Oswego, Oregon |
| Authorized Official Name and Position | Manami Yamaguchi (OWNER) |
| Authorized Official Contact | 5036353306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manami Yamaguchi Dmd Llc 15074 Bangy Rd Lake Oswego OR 97035-3110 Ph: () - | Manami Yamaguchi Dmd Llc 15074 Bangy Rd Lake Oswego OR 97035-3110 Ph: (503) 635-3306 |
| NPI Number | 1730355520 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730355520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D7236 (Oregon) | Primary |
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