Thomas Family Dentistry | |
12575 Sw 3rd St Beaverton OR 97005-0517 | |
(503) 644-7697 | |
(503) 626-4618 |
Full Name | Thomas Family Dentistry |
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Speciality | Clinic/center - Dental |
Location | 12575 Sw 3rd St, Beaverton, Oregon |
Authorized Official Name and Position | Melissa Cole Bothne (BUSINESS ADMINISTRATOR AND OWNER) |
Authorized Official Contact | 5036447697 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Thomas Family Dentistry 12575 Sw 3rd St Beaverton OR 97005-0517 Ph: (503) 644-7697 | Thomas Family Dentistry 12575 Sw 3rd St Beaverton OR 97005-0517 Ph: (503) 644-7697 |
NPI Number | 1447589452 |
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Provider Enumeration Date | 12/22/2009 |
Last Update Date | 12/22/2009 |
Identifier | Type | State | Issuer |
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1447589452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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