| The Dental Studio | |
|
510 4th St Lake Oswego OR 97034-3006 | |
| (503) 636-4324 | |
| Not Available |
| Full Name | The Dental Studio |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 510 4th St, Lake Oswego, Oregon |
| Authorized Official Name and Position | Jeffrey Clawson (DENTIST/OWNER) |
| Authorized Official Contact | 2086816181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Studio 510 4th St Lake Oswego OR 97034-3006 Ph: (503) 636-4324 | The Dental Studio 510 4th St Lake Oswego OR 97034-3006 Ph: (503) 636-4324 |
| NPI Number | 1265882484 |
|---|---|
| Provider Enumeration Date | 06/19/2016 |
| Last Update Date | 06/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265882484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D10436 (Oregon) | Primary |
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