Beaverton Dental Center Llc

NPI 1023367513 - Denturist - 122400000X

NPI Details
NPI 1023367513
Enumeration Date 08/30/2012
Last Updated 08/30/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JOHN JOHN
Position OWNER
Phone (503) 641-4328
Fax (503) 644-8454
Practice Location
11673 SW BEAVERTON HILLSDALE HWY
BEAVERTON OR, 97005-2928, US
Phone (503) 641-4328
Fax (503) 644-8454
Business Location
11673 SW BEAVERTON HILLSDALE HWY
BEAVERTON OR, 97005-2928, US
Phone (503) 641-4328
Fax (503) 644-8454
Toxanomy
Taxonomy Code 122400000X
License State Oregon
License Number 27130
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According to our database, Beaverton Dental Center Llc NPI is 1023367513, taxonomy code is 122400000X and license number is 27130, license state is located at Oregon. Beaverton Dental Center Llc physically located at 11673 Sw Beaverton Hillsdale Hwy, Beaverton OR, 97005-2928. NPI Number 1033115704 has the healthcare provider type.

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1023367513 NPI number is provided on an as is basis without warranty of any kind. 1023367513 is maintained by the National Plan & Provider Enumeration System. The contents of Beaverton Dental Center Llc are for informational purposes only.