Tigard Family Dental, Pc | |
11820 Sw King James Pl Ste 20 Tigard OR 97224-2481 | |
(503) 620-2020 | |
Not Available |
Full Name | Tigard Family Dental, Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 11820 Sw King James Pl Ste 20, Tigard, Oregon |
Authorized Official Name and Position | Rebecca Ann Martinez (OFFICE MANAGER) |
Authorized Official Contact | 5039682901 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tigard Family Dental, Pc 11820 Sw King James Pl Ste 20 Tigard OR 97224-2481 Ph: (503) 620-2020 | Tigard Family Dental, Pc 11820 Sw King James Pl Ste 20 Tigard OR 97224-2481 Ph: (503) 620-2020 |
NPI Number | 1205135118 |
---|---|
Provider Enumeration Date | 03/17/2011 |
Last Update Date | 11/28/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205135118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D7467 (Oregon) | Primary |
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