| Amethyst Dental Llc | |
|
15160 Nw Laidlaw Rd Ste 202 Portland OR 97229-7709 | |
| (503) 533-2330 | |
| Not Available |
| Full Name | Amethyst Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15160 Nw Laidlaw Rd Ste 202, Portland, Oregon |
| Authorized Official Name and Position | Patrick Chuang (OWNER) |
| Authorized Official Contact | 5105014317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amethyst Dental Llc 15160 Nw Laidlaw Rd Ste 202 Portland OR 97229-7709 Ph: (503) 533-2330 | Amethyst Dental Llc 15160 Nw Laidlaw Rd Ste 202 Portland OR 97229-7709 Ph: (503) 533-2330 |
| NPI Number | 1053177790 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 02/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053177790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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› Verified 1 days ago
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