Northwest Endodontics, Pc | |
18395 Sw Alexander St Aloha OR 97006-3961 | |
(503) 642-4552 | |
(503) 591-0202 |
Full Name | Northwest Endodontics, Pc |
---|---|
Speciality | Dentist - Endodontics |
Location | 18395 Sw Alexander St, Aloha, Oregon |
Authorized Official Name and Position | Paul David Brent (OWNER) |
Authorized Official Contact | 5036424552 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northwest Endodontics, Pc 18395 Sw Alexander St Aloha OR 97006-3961 Ph: (503) 642-4552 | Northwest Endodontics, Pc 18395 Sw Alexander St Aloha OR 97006-3961 Ph: (503) 642-4552 |
NPI Number | 1487819116 |
---|---|
Provider Enumeration Date | 07/22/2008 |
Last Update Date | 07/22/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487819116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | D7495 (Oregon) | Primary |
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