| Village Dental | |
|
29174 Sw Town Center Loop W 201 Wilsonville OR 97070-9306 | |
| (503) 582-8255 | |
| (503) 582-9355 |
| Full Name | Village Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 29174 Sw Town Center Loop W, Wilsonville, Oregon |
| Authorized Official Name and Position | Yan Z Gardner (DENTIST) |
| Authorized Official Contact | 5035828255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Dental 29174 Sw Town Center Loop W 201 Wilsonville OR 97070-9306 Ph: (503) 582-8255 | Village Dental 29174 Sw Town Center Loop W 201 Wilsonville OR 97070-9306 Ph: (503) 582-8255 |
| NPI Number | 1538434014 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 03/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538434014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D7429 (Oregon) | Primary |
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