Pioneer Dental Group Pc

NPI 1205213303 - Dentist - 1223G0001X

NPI Details
NPI 1205213303
Enumeration Date 04/28/2015
Last Updated 11/17/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name RALEIGH SCOTT RALEIGH
Position PRESIDENT
Phone (503) 305-5051
Fax (503) 342-6069
Practice Location
19129 BEAVERCREEK RD
OREGON CITY OR, 97045-9539, US
Phone (503) 305-5051
Fax (503) 342-6069
Business Location
19129 BEAVERCREEK RD
OREGON CITY OR, 97045-9539, US
Phone (503) 305-5051
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number D9000
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According to our database, Pioneer Dental Group Pc NPI is 1205213303, taxonomy code is 1223G0001X and license number is D9000, license state is located at Oregon. Pioneer Dental Group Pc physically located at 19129 Beavercreek Rd, Oregon City OR, 97045-9539. NPI Number 1033115704 has the healthcare provider type.

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1205213303 NPI number is provided on an as is basis without warranty of any kind. 1205213303 is maintained by the National Plan & Provider Enumeration System. The contents of Pioneer Dental Group Pc are for informational purposes only.