| Modern Family Dental Of Troutdale, Llc | |
|
25603 Se Stark St Troutdale OR 97060-3305 | |
| (503) 667-8889 | |
| Not Available |
| Full Name | Modern Family Dental Of Troutdale, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 25603 Se Stark St, Troutdale, Oregon |
| Authorized Official Name and Position | Nathan Lee (DENTIST) |
| Authorized Official Contact | 5036678889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Family Dental Of Troutdale, Llc 25603 Se Stark St Troutdale OR 97060-3305 Ph: () - | Modern Family Dental Of Troutdale, Llc 25603 Se Stark St Troutdale OR 97060-3305 Ph: (503) 667-8889 |
| NPI Number | 1285842385 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285842385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Troutdale Dentalinc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 191 E Columbia River Hwy, Troutdale, OR 97060 Phone: 503-674-8767 | |
Troutdale Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 191 E Historic Columbia River Hwy, Troutdale, OR 97060 Phone: 503-674-8767 | |
Eastside Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1540 Sw 257th Ave, Troutdale, OR 97060 Phone: 503-665-2177 Fax: 503-666-7130 |