| Value Dental Llc | |
|
15012 Se Stark St Portland OR 97233-2854 | |
| (503) 255-9339 | |
| Not Available |
| Full Name | Value Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15012 Se Stark St, Portland, Oregon |
| Authorized Official Name and Position | Clark Fairbanks Brinton (MEMBER) |
| Authorized Official Contact | 5052734994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Value Dental Llc 15012 Se Stark St Portland OR 97233-2854 Ph: () - | Value Dental Llc 15012 Se Stark St Portland OR 97233-2854 Ph: (503) 255-9339 |
| NPI Number | 1962282988 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 10/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962282988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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