| Tigard Family Dental, Pc | |
|
11820 Sw King James Pl Ste 20 Tigard OR 97224-2481 | |
| (503) 620-2020 | |
| Not Available |
| Full Name | Tigard Family Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11820 Sw King James Pl Ste 20, Tigard, Oregon |
| Authorized Official Name and Position | Rebecca Ann Martinez (OFFICE MANAGER) |
| Authorized Official Contact | 5039682901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tigard Family Dental, Pc 11820 Sw King James Pl Ste 20 Tigard OR 97224-2481 Ph: (503) 620-2020 | Tigard Family Dental, Pc 11820 Sw King James Pl Ste 20 Tigard OR 97224-2481 Ph: (503) 620-2020 |
| NPI Number | 1205135118 |
|---|---|
| Provider Enumeration Date | 03/17/2011 |
| Last Update Date | 11/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205135118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D7467 (Oregon) | Primary |
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