Ne 82nd Avenue Dental Llc | |
2150 Ne 82nd Ave Portland OR 97220-5607 | |
(503) 254-0897 | |
(503) 254-0894 |
Full Name | Ne 82nd Avenue Dental Llc |
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Speciality | Clinic/center - Dental |
Location | 2150 Ne 82nd Ave, Portland, Oregon |
Authorized Official Name and Position | Sarah Nichol (OFFICE MANAGER) |
Authorized Official Contact | 5032540897 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ne 82nd Avenue Dental Llc 2150 Ne 82nd Ave Portland OR 97220-5607 Ph: (503) 254-0897 | Ne 82nd Avenue Dental Llc 2150 Ne 82nd Ave Portland OR 97220-5607 Ph: (503) 254-0897 |
NPI Number | 1700192184 |
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Provider Enumeration Date | 08/24/2010 |
Last Update Date | 08/24/2010 |
Identifier | Type | State | Issuer |
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1700192184 | NPI | - | NPPES |
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