Beaverton Family Dentistry

NPI 1003138116 - Dentist - 1223G0001X

NPI Details
NPI 1003138116
Enumeration Date 02/17/2010
Last Updated 02/17/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name TONY H TONY
Position PRESIDENT
Phone (503) 641-1100
Fax
Practice Location
10950 SW BEAVERTON HILLSDALE HWY
BEAVERTON OR, 97005-3003, US
Phone (503) 641-1100
Fax
Business Location
10950 SW BEAVERTON HILLSDALE HWY
BEAVERTON OR, 97005-3003, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number D6683
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According to our database, Beaverton Family Dentistry NPI is 1003138116, taxonomy code is 1223G0001X and license number is D6683, license state is located at Oregon. Beaverton Family Dentistry physically located at 10950 Sw Beaverton Hillsdale Hwy, Beaverton OR, 97005-3003. NPI Number 1033115704 has the healthcare provider type.

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1003138116 NPI number is provided on an as is basis without warranty of any kind. 1003138116 is maintained by the National Plan & Provider Enumeration System. The contents of Beaverton Family Dentistry are for informational purposes only.