| Horacek Dental | |
|
11815 Sw King James Pl Ste 10 Tigard OR 97224-2479 | |
| (503) 433-8256 | |
| Not Available |
| Full Name | Horacek Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11815 Sw King James Pl Ste 10, Tigard, Oregon |
| Authorized Official Name and Position | Melody Bennion (DIRECTOR OF INTEGRATIONS) |
| Authorized Official Contact | 4802348490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Horacek Dental 410 N 44th St Ste 290 Phoenix AZ 85008-7622 Ph: (480) 626-4154 | Horacek Dental 11815 Sw King James Pl Ste 10 Tigard OR 97224-2479 Ph: (503) 433-8256 |
| NPI Number | 1114568029 |
|---|---|
| Provider Enumeration Date | 10/01/2019 |
| Last Update Date | 07/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114568029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Oregon Mobile Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11820 Sw King James Pl Ste 10j, Tigard, OR 97224 Phone: 503-616-5000 | |
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