| Sleep Dentistry Of Portland Llc | |
|
19265 Se Stark St Suite A Portland OR 97233-5758 | |
| (503) 666-9519 | |
| Not Available |
| Full Name | Sleep Dentistry Of Portland Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19265 Se Stark St, Portland, Oregon |
| Authorized Official Name and Position | Brandon C. Kasch (MANAGER) |
| Authorized Official Contact | 5036669519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sleep Dentistry Of Portland Llc 19265 Se Stark St Suite A Portland OR 97233-5758 Ph: (503) 666-9519 | Sleep Dentistry Of Portland Llc 19265 Se Stark St Suite A Portland OR 97233-5758 Ph: (503) 666-9519 |
| NPI Number | 1265557789 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 09/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265557789 | NPI | - | NPPES |
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