Oregon Endodontic Group | |
320 A Ave Lake Oswego OR 97034-3056 | |
(503) 636-3383 | |
(503) 635-8632 |
Full Name | Oregon Endodontic Group |
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Speciality | Dentist - Endodontics |
Location | 320 A Ave, Lake Oswego, Oregon |
Authorized Official Name and Position | Leila Tarsa (OWNER) |
Authorized Official Contact | 5036363383 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Oregon Endodontic Group 320 A Ave Lake Oswego OR 97034-3056 Ph: (503) 636-3383 | Oregon Endodontic Group 320 A Ave Lake Oswego OR 97034-3056 Ph: (503) 636-3383 |
NPI Number | 1366793192 |
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Provider Enumeration Date | 09/19/2012 |
Last Update Date | 09/19/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366793192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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