Noland Dental Llc | |
12400 Sw Allen Blvd Beaverton OR 97005-4839 | |
(503) 789-8465 | |
(503) 646-8123 |
Full Name | Noland Dental Llc |
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Speciality | Dentist |
Location | 12400 Sw Allen Blvd, Beaverton, Oregon |
Authorized Official Name and Position | Paul Brooks Noland (DENTIST/MANAGING MEMBER) |
Authorized Official Contact | 5037898465 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Noland Dental Llc Po Box 8646 Portland OR 97207-8646 Ph: (503) 789-8465 | Noland Dental Llc 12400 Sw Allen Blvd Beaverton OR 97005-4839 Ph: (503) 789-8465 |
NPI Number | 1568854040 |
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Provider Enumeration Date | 02/20/2015 |
Last Update Date | 02/20/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568854040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 9092 (Oregon) | Primary |
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