2nd & Madison Dental

NPI 1497197230 - Dentist - 122300000X

NPI Details
NPI 1497197230
Enumeration Date 07/22/2013
Last Updated 07/22/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CINDY CINDY
Position MANAGING MEMBER
Phone (949) 498-5761
Fax
Practice Location
100 SW MAIN ST
SUITE 165
PORTLAND OR, 97204-3218, US
Phone (949) 498-5761
Fax
Business Location
100 SW MAIN ST
SUITE 165
PORTLAND OR, 97204-3218, US
Phone (949) 498-5761
Fax
Toxanomy
Taxonomy Code 122300000X
License State
License Number
Remove 1497197230 NPI Number
 

According to our database, 2nd & Madison Dental NPI is 1497197230, taxonomy code is 122300000X 2nd & Madison Dental physically located at 100 Sw Main St, Portland OR, 97204-3218. NPI Number 1033115704 has the healthcare provider type.

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1497197230 NPI number is provided on an as is basis without warranty of any kind. 1497197230 is maintained by the National Plan & Provider Enumeration System. The contents of 2nd & Madison Dental are for informational purposes only.