| Woodburn Modern Dental Llc | |
|
1641 Mount Hood Ave Woodburn OR 97071-9070 | |
| (713) 927-5101 | |
| Not Available |
| Full Name | Woodburn Modern Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1641 Mount Hood Ave, Woodburn, Oregon |
| Authorized Official Name and Position | Jabal Patel (CO-OWNER) |
| Authorized Official Contact | 8472243846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodburn Modern Dental Llc 1641 Mount Hood Ave Woodburn OR 97071-9070 Ph: (503) 305-2525 | Woodburn Modern Dental Llc 1641 Mount Hood Ave Woodburn OR 97071-9070 Ph: (713) 927-5101 |
| NPI Number | 1821643693 |
|---|---|
| Provider Enumeration Date | 08/07/2019 |
| Last Update Date | 12/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821643693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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