Kaiser Dental

NPI 1003965922 - Dental Assistant - 126800000X

NPI Details
NPI 1003965922
Enumeration Date 01/09/2007
Last Updated 06/18/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name VICTORIA ELIZABETH VICTORIA
Position DENTAL ASSISTANT
Phone (503) 238-4418
Fax
Practice Location
5025 SE 28TH AVE
PORTLAND OR, 97202-4445, US
Phone (503) 238-4418
Fax
Business Location
3220 SE 89TH AVE
PORTLAND OR, 97266-1911, US
Phone (503) 381-1234
Fax
Toxanomy
Taxonomy Code 126800000X
License State Oregon
License Number A9701
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According to our database, Kaiser Dental NPI is 1003965922, taxonomy code is 126800000X and license number is A9701, license state is located at Oregon. Kaiser Dental physically located at 5025 Se 28th Ave, Portland OR, 97202-4445. NPI Number 1033115704 has the healthcare provider type.

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1003965922 NPI number is provided on an as is basis without warranty of any kind. 1003965922 is maintained by the National Plan & Provider Enumeration System. The contents of Kaiser Dental are for informational purposes only.