| Serenity Dental, Llc | |
|
29292 Sw Town Center Loop E Ste B Wilsonville OR 97070-9491 | |
| (503) 974-0500 | |
| (503) 974-0505 |
| Full Name | Serenity Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 29292 Sw Town Center Loop E Ste B, Wilsonville, Oregon |
| Authorized Official Name and Position | Thomas Clark (DMD) |
| Authorized Official Contact | 5039740500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Dental, Llc 29292 Sw Town Center Loop E Ste B Wilsonville OR 97070-9491 Ph: (503) 974-0500 | Serenity Dental, Llc 29292 Sw Town Center Loop E Ste B Wilsonville OR 97070-9491 Ph: (503) 974-0500 |
| NPI Number | 1710735048 |
|---|---|
| Provider Enumeration Date | 05/10/2024 |
| Last Update Date | 05/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710735048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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