Sunnybrook Family Dental Llc | |
11411 Se Sunnyside Rd, Suite 102 Happy Valley OR 97086 | |
(503) 427-0427 | |
(503) 427-2782 |
Full Name | Sunnybrook Family Dental Llc |
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Speciality | Dentist - General Practice |
Location | 11411 Se Sunnyside Rd, Suite 102, Happy Valley, Oregon |
Authorized Official Name and Position | Diem Q. Nguyen (OWNER) |
Authorized Official Contact | 5034270427 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sunnybrook Family Dental Llc 11411 Se Sunnyside Rd, Suite 102 Happy Valley OR 97086 Ph: (503) 427-0427 | Sunnybrook Family Dental Llc 11411 Se Sunnyside Rd, Suite 102 Happy Valley OR 97086 Ph: (503) 427-0427 |
NPI Number | 1821203522 |
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Provider Enumeration Date | 05/14/2007 |
Last Update Date | 09/29/2015 |
Identifier | Type | State | Issuer |
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1821203522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D7195 (Oregon) | Primary |
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