Beaverton Dental Center Llc | |
11673 Sw Beaverton Hillsdale Hwy Beaverton OR 97005-2928 | |
(503) 641-4328 | |
(503) 644-8454 |
Full Name | Beaverton Dental Center Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 11673 Sw Beaverton Hillsdale Hwy, Beaverton, Oregon |
Authorized Official Name and Position | John Williams (OWNER) |
Authorized Official Contact | 5036414328 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Beaverton Dental Center Llc 11673 Sw Beaverton Hillsdale Hwy Beaverton OR 97005-2928 Ph: (503) 641-4328 | Beaverton Dental Center Llc 11673 Sw Beaverton Hillsdale Hwy Beaverton OR 97005-2928 Ph: (503) 641-4328 |
NPI Number | 1023367513 |
---|---|
Provider Enumeration Date | 08/30/2012 |
Last Update Date | 08/30/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023367513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2004 (Oregon) | Primary |
122400000X | Denturist | 27130 (Oregon) | Secondary |
News Archive
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› Verified 4 days ago
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