Hazelnut Dental Llc | |
10773 Sw Beaverton-hillsdale Hwy Ste B Beaverton OR 97005 | |
(503) 828-0928 | |
Not Available |
Full Name | Hazelnut Dental Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 10773 Sw Beaverton-hillsdale Hwy, Beaverton, Oregon |
Authorized Official Name and Position | Joshua Kim (OWNER) |
Authorized Official Contact | 5038280928 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hazelnut Dental Llc 10773 Sw Beaverton-hillsdale Hwy Ste B Beaverton OR 97005 Ph: (503) 828-0928 | Hazelnut Dental Llc 10773 Sw Beaverton-hillsdale Hwy Ste B Beaverton OR 97005 Ph: (503) 828-0928 |
NPI Number | 1285193003 |
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Provider Enumeration Date | 03/19/2019 |
Last Update Date | 03/19/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285193003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
News Archive
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