| Northwest Orthodontic Specialists | |
|
12100 Se Stevens Ct Suite: 102 Happy Valley OR 97086-4707 | |
| (503) 659-7455 | |
| (503) 659-7431 |
| Full Name | Northwest Orthodontic Specialists |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 12100 Se Stevens Ct, Happy Valley, Oregon |
| Authorized Official Name and Position | Vonny Ngantung (ORTHODONTIST) |
| Authorized Official Contact | 5036597455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Orthodontic Specialists 12100 Se Stevens Ct Suite: 102 Happy Valley OR 97086-4707 Ph: (503) 659-7455 | Northwest Orthodontic Specialists 12100 Se Stevens Ct Suite: 102 Happy Valley OR 97086-4707 Ph: (503) 659-7455 |
| NPI Number | 1558589317 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558589317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D8294 (Oregon) | Primary |
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