| Springwater Dental | |
|
8325 Se Harney St. Suite #101 Portland OR 97266 | |
| (503) 228-5059 | |
| (503) 517-2808 |
| Full Name | Springwater Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8325 Se Harney St., Portland, Oregon |
| Authorized Official Name and Position | Paul Chung (OWNER) |
| Authorized Official Contact | 5032285059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springwater Dental 8325 Se Harney St. Suite #101 Portland OR 97266 Ph: (503) 228-5059 | Springwater Dental 8325 Se Harney St. Suite #101 Portland OR 97266 Ph: (503) 228-5059 |
| NPI Number | 1629382585 |
|---|---|
| Provider Enumeration Date | 08/03/2010 |
| Last Update Date | 08/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629382585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D8126 (Oregon) | Primary |
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