| Pediatric Dental Group | |
|
5415 Sw Westgate Dr Suite 207 Portland OR 97221-2409 | |
| (503) 292-9274 | |
| (503) 292-2337 |
| Full Name | Pediatric Dental Group |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5415 Sw Westgate Dr, Portland, Oregon |
| Authorized Official Name and Position | David J Cavano (DENTIST) |
| Authorized Official Contact | 5032929274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Group 5415 Sw Westgate Dr Suite 207 Portland OR 97221-2409 Ph: (503) 292-9274 | Pediatric Dental Group 5415 Sw Westgate Dr Suite 207 Portland OR 97221-2409 Ph: (503) 292-9274 |
| NPI Number | 1972770097 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 05/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972770097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D7977 (Oregon) | Primary |
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