Hayden Family Dentistry Group

NPI 1003079443 - Dentist - 122300000X

NPI Details
NPI 1003079443
Enumeration Date 07/07/2008
Last Updated 07/07/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JERRY JERRY
Position HR
Phone (503) 541-2580
Fax
Practice Location
732 SW 3RD AVE
SUITE 202
PORTLAND OR, 97204-2416, US
Phone (503) 541-2580
Fax
Business Location
1740 W 17TH AVE
EUGENE OR, 97402-3619, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Hayden Family Dentistry Group NPI is 1003079443, taxonomy code is 122300000X Hayden Family Dentistry Group physically located at 732 Sw 3rd Ave, Portland OR, 97204-2416. NPI Number 1033115704 has the healthcare provider type.

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1003079443 NPI number is provided on an as is basis without warranty of any kind. 1003079443 is maintained by the National Plan & Provider Enumeration System. The contents of Hayden Family Dentistry Group are for informational purposes only.