Dental Doc Pc

NPI 1285618470 - Dentist - 122300000X

NPI Details
NPI 1285618470
Enumeration Date 12/01/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name SANDRA MARIA SANDRA
Position PRESIDENT
Phone (503) 698-1112
Fax (503) 698-1119
Practice Location
11808 SE SUNNYSIDE RD
CLACKAMAS OR, 97015-9308, US
Phone (503) 698-1112
Fax (503) 698-1119
Business Location
11808 SE SUNNYSIDE RD
CLACKAMAS OR, 97015-9308, US
Phone (503) 698-1112
Fax (503) 698-1119
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Dental Doc Pc NPI is 1285618470, taxonomy code is 122300000X Dental Doc Pc physically located at 11808 Se Sunnyside Rd, Clackamas OR, 97015-9308. NPI Number 1033115704 has the healthcare provider type.

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1285618470 NPI number is provided on an as is basis without warranty of any kind. 1285618470 is maintained by the National Plan & Provider Enumeration System. The contents of Dental Doc Pc are for informational purposes only.