| Nopo Kids Dentistry, Llc | |
|
4548 N Albina Ave Portland OR 97217-3010 | |
| (503) 626-9700 | |
| (503) 626-9772 |
| Full Name | Nopo Kids Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4548 N Albina Ave, Portland, Oregon |
| Authorized Official Name and Position | Wendi L Tjostolvson (PATIENT FINANCIAL COORDINATOR) |
| Authorized Official Contact | 9719780009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nopo Kids Dentistry, Llc 4548 N Albina Ave Portland OR 97217-3010 Ph: (971) 978-0009 | Nopo Kids Dentistry, Llc 4548 N Albina Ave Portland OR 97217-3010 Ph: (503) 626-9700 |
| NPI Number | 1760869143 |
|---|---|
| Provider Enumeration Date | 05/05/2015 |
| Last Update Date | 01/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760869143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Oregon) | Primary |
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