Bridgeport Dental Llc

NPI 1093086415 - Clinic/Center - 261QD0000X

NPI Details
NPI 1093086415
Enumeration Date 01/17/2012
Last Updated 01/17/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name GEROGE GEROGE
Position DDS
Phone (503) 906-8600
Fax (503) 716-4607
Practice Location
18035 SW LOWER BOONES FERRY RD
TIGARD OR, 97224-7228, US
Phone (503) 906-8600
Fax (503) 716-4607
Business Location
18035 SW LOWER BOONES FERRY RD
TIGARD OR, 97224-7228, US
Phone (503) 906-8600
Fax (503) 716-4607
Toxanomy
Taxonomy Code 261QD0000X
License State
License Number
Remove 1093086415 NPI Number
 

According to our database, Bridgeport Dental Llc NPI is 1093086415, taxonomy code is 261QD0000X Bridgeport Dental Llc physically located at 18035 Sw Lower Boones Ferry Rd, Tigard OR, 97224-7228. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1093086415 NPI number is provided on an as is basis without warranty of any kind. 1093086415 is maintained by the National Plan & Provider Enumeration System. The contents of Bridgeport Dental Llc are for informational purposes only.