| Perledent Dental Care, Pc | |
|
16755 Sw Baseline Rd Beaverton OR 97006-4241 | |
| (503) 533-4001 | |
| Not Available |
| Full Name | Perledent Dental Care, Pc |
|---|---|
| Speciality | Dentist |
| Location | 16755 Sw Baseline Rd, Beaverton, Oregon |
| Authorized Official Name and Position | Kyle H Van (OWNER DENTIST) |
| Authorized Official Contact | 5035334001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perledent Dental Care, Pc 16755 Sw Baseline Rd Beaverton OR 97006-4241 Ph: (503) 533-4001 | Perledent Dental Care, Pc 16755 Sw Baseline Rd Beaverton OR 97006-4241 Ph: (503) 533-4001 |
| NPI Number | 1255704813 |
|---|---|
| Provider Enumeration Date | 11/04/2015 |
| Last Update Date | 11/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255704813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D10365 (Oregon) | Primary |
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