Troutdale Dentalinc | |
191 E Columbia River Hwy Troutdale OR 97060-2076 | |
(503) 674-8767 | |
Not Available |
Full Name | Troutdale Dentalinc |
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Speciality | Dentist |
Location | 191 E Columbia River Hwy, Troutdale, Oregon |
Authorized Official Name and Position | Mark Dorrough (OWNER) |
Authorized Official Contact | 5036748767 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Troutdale Dentalinc 191 E Columbia River Hwy Troutdale OR 97060-2076 Ph: (503) 674-8767 | Troutdale Dentalinc 191 E Columbia River Hwy Troutdale OR 97060-2076 Ph: (503) 674-8767 |
NPI Number | 1124414206 |
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Provider Enumeration Date | 04/15/2015 |
Last Update Date | 04/15/2015 |
Identifier | Type | State | Issuer |
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1124414206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | D7185 (Oregon) | Primary |
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Troutdale Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 191 E Historic Columbia River Hwy, Troutdale, OR 97060 Phone: 503-674-8767 | |
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