| Radiant Family Dentistry | |
|
601 Center St Oregon City OR 97045-2253 | |
| (503) 656-1905 | |
| (503) 656-9680 |
| Full Name | Radiant Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 601 Center St, Oregon City, Oregon |
| Authorized Official Name and Position | Van Ai Han (DENTIST) |
| Authorized Official Contact | 5038666242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Family Dentistry 11000 Se Lenore St Happy Valley OR 97086-8790 Ph: (503) 866-6242 | Radiant Family Dentistry 601 Center St Oregon City OR 97045-2253 Ph: (503) 656-1905 |
| NPI Number | 1457749632 |
|---|---|
| Provider Enumeration Date | 12/23/2014 |
| Last Update Date | 12/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457749632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D8959 (Oregon) | Primary |
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