| Sandy Dental Pc | |
|
7836 Ne Sandy Blvd Portland OR 97213-6467 | |
| (503) 288-3107 | |
| (503) 287-4748 |
| Full Name | Sandy Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7836 Ne Sandy Blvd, Portland, Oregon |
| Authorized Official Name and Position | Khiet Minh Tran (PRESIDENT) |
| Authorized Official Contact | 5032883107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy Dental Pc 7836 Ne Sandy Blvd Portland OR 97213-6467 Ph: (503) 288-3107 | Sandy Dental Pc 7836 Ne Sandy Blvd Portland OR 97213-6467 Ph: (503) 288-3107 |
| NPI Number | 1023151727 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 06/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023151727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D6709 (Oregon) | Primary |
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