| Tlc Dentistry | |
|
6919 S.e. 82nd Ave. Ste 103 Portland OR 97266 | |
| (503) 774-3546 | |
| (503) 774-3547 |
| Full Name | Tlc Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 6919 S.e. 82nd Ave. Ste 103, Portland, Oregon |
| Authorized Official Name and Position | Andrew Kyanh Phan (DOCTOR OF DENTAL MEDICINE. OWNER.) |
| Authorized Official Contact | 5037743546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc Dentistry 6919 S.e. 82nd Ave. Suite 103 Portland OR 97266 Ph: (503) 774-3546 | Tlc Dentistry 6919 S.e. 82nd Ave. Ste 103 Portland OR 97266 Ph: (503) 774-3546 |
| NPI Number | 1356604516 |
|---|---|
| Provider Enumeration Date | 06/21/2012 |
| Last Update Date | 06/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356604516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D6465 (Oregon) | Primary |
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