Portland Children's Dentistry, Llc

NPI 1225458441 - Clinic/Center - 261QD0000X

NPI Details
NPI 1225458441
Enumeration Date 04/27/2014
Last Updated 04/27/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DAVID JACOB DAVID
Position CO-OWNER
Phone (503) 893-2889
Fax
Practice Location
2323 NW WESTOVER RD
PORTLAND OR, 97210-3524, US
Phone (503) 893-2889
Fax
Business Location
2323 NW WESTOVER RD
PORTLAND OR, 97210-3524, US
Phone (503) 893-2889
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Oregon
License Number D9732
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According to our database, Portland Children's Dentistry, Llc NPI is 1225458441, taxonomy code is 261QD0000X and license number is D9732, license state is located at Oregon. Portland Children's Dentistry, Llc physically located at 2323 Nw Westover Rd, Portland OR, 97210-3524. NPI Number 1033115704 has the healthcare provider type.

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1225458441 NPI number is provided on an as is basis without warranty of any kind. 1225458441 is maintained by the National Plan & Provider Enumeration System. The contents of Portland Children's Dentistry, Llc are for informational purposes only.