| Tualatin Pediatric Dentistry | |
|
18803 Sw Boones Ferry Rd Suite 5 Tualatin OR 97062-8412 | |
| (503) 692-3747 | |
| (503) 612-6948 |
| Full Name | Tualatin Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 18803 Sw Boones Ferry Rd, Tualatin, Oregon |
| Authorized Official Name and Position | Lisa S Yarborough (PEDIATRIC DENTIST) |
| Authorized Official Contact | 5036923747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tualatin Pediatric Dentistry 18803 Sw Boones Ferry Rd Suite 5 Tualatin OR 97062-8412 Ph: (503) 692-3747 | Tualatin Pediatric Dentistry 18803 Sw Boones Ferry Rd Suite 5 Tualatin OR 97062-8412 Ph: (503) 692-3747 |
| NPI Number | 1255762449 |
|---|---|
| Provider Enumeration Date | 12/12/2013 |
| Last Update Date | 12/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255762449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D9222 (Oregon) | Primary |
Edward D. Lacy, Dmd. Fagd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8220 Sw Warm Springs St, Suite 200, Tualatin, OR 97062 Phone: 503-692-0337 Fax: 503-692-0792 | |
Three Rivers Oral And Facial Surgery Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6464 Sw Borland Rd Ste D3, Tualatin, OR 97062 Phone: 503-692-5654 | |
Daniel Petrisor Dmd Md Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6464 Sw Borland Rd Ste D3, Tualatin, OR 97062 Phone: 214-316-5743 | |
Tualatin Cosmetic & Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8555 Sw Tualatin Rd, Tualatin, OR 97062 Phone: 503-692-1450 Fax: 503-352-9395 | |
Warm Springs Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8220 Sw Warm Springs St, Ste 200, Tualatin, OR 97062 Phone: 503-692-0337 | |
Tualatin Modern Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7017 Sw Nyberg Street, Tualatin, OR 97062 Phone: 503-612-8736 Fax: 503-612-8737 |