| Powell Family Dental | |
|
11050 Se Powell Blvd Ste 378 Portland OR 97266-1863 | |
| (503) 788-0405 | |
| Not Available |
| Full Name | Powell Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11050 Se Powell Blvd Ste 378, Portland, Oregon |
| Authorized Official Name and Position | Olga Dontsova (DENTIST) |
| Authorized Official Contact | 5037880405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powell Family Dental 11050 Se Powell Blvd Ste 378 Portland OR 97266-1863 Ph: (503) 788-0405 | Powell Family Dental 11050 Se Powell Blvd Ste 378 Portland OR 97266-1863 Ph: (503) 788-0405 |
| NPI Number | 1023339199 |
|---|---|
| Provider Enumeration Date | 06/11/2010 |
| Last Update Date | 06/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023339199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D7590 (Oregon) | Primary |
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