| Northwest Periodontics And Dental Implants Llc | |
|
2525 Nw Lovejoy St Ste 100 Portland OR 97210-2861 | |
| (503) 222-2844 | |
| (503) 222-4001 |
| Full Name | Northwest Periodontics And Dental Implants Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2525 Nw Lovejoy St Ste 100, Portland, Oregon |
| Authorized Official Name and Position | Sarah Lee (FINANCIAL COORDINATOR) |
| Authorized Official Contact | 5032222844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Periodontics And Dental Implants Llc 2525 Nw Lovejoy St Ste 100 Portland OR 97210-2861 Ph: (503) 222-2844 | Northwest Periodontics And Dental Implants Llc 2525 Nw Lovejoy St Ste 100 Portland OR 97210-2861 Ph: (503) 222-2844 |
| NPI Number | 1457075350 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 10/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457075350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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