Special Delivery Dental Care Inc

NPI 1104885698 - Dentist - 122300000X

NPI Details
NPI 1104885698
Enumeration Date 03/22/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PAMELA A PAMELA
Position EXEC DIRECTOR
Phone (503) 772-3677
Fax (503) 772-3655
Practice Location
6319 SE POWELL BLVD
PORTLAND OR, 97206-2751, US
Phone (503) 772-3677
Fax (503) 772-3655
Business Location
6319 SE POWELL BLVD
PORTLAND OR, 97206-2751, US
Phone (503) 772-3677
Fax (503) 772-3655
Toxanomy
Taxonomy Code 122300000X
License State Oregon
License Number D7301
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According to our database, Special Delivery Dental Care Inc NPI is 1104885698, taxonomy code is 122300000X and license number is D7301, license state is located at Oregon. Special Delivery Dental Care Inc physically located at 6319 Se Powell Blvd, Portland OR, 97206-2751. NPI Number 1033115704 has the healthcare provider type.

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1104885698 NPI number is provided on an as is basis without warranty of any kind. 1104885698 is maintained by the National Plan & Provider Enumeration System. The contents of Special Delivery Dental Care Inc are for informational purposes only.