Tigard Family Dental, Pc

NPI 1205135118 - Dentist - 1223G0001X

NPI Details
NPI 1205135118
Enumeration Date 03/17/2011
Last Updated 11/28/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name REBECCA ANN REBECCA
Position OFFICE MANAGER
Phone (503) 620-2020
Fax
Practice Location
11820 SW KING JAMES PL STE 20
TIGARD OR, 97224-2481, US
Phone (503) 620-2020
Fax
Business Location
11820 SW KING JAMES PL STE 20
TIGARD OR, 97224-2481, US
Phone (503) 620-2020
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number D7467
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According to our database, Tigard Family Dental, Pc NPI is 1205135118, taxonomy code is 1223G0001X and license number is D7467, license state is located at Oregon. Tigard Family Dental, Pc physically located at 11820 Sw King James Pl Ste 20, Tigard OR, 97224-2481. NPI Number 1033115704 has the healthcare provider type.

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1205135118 NPI number is provided on an as is basis without warranty of any kind. 1205135118 is maintained by the National Plan & Provider Enumeration System. The contents of Tigard Family Dental, Pc are for informational purposes only.