Vancouver Dg Llc | |
1185 Nw 178th Ave Beaverton OR 97006-3364 | |
(971) 708-9540 | |
Not Available |
Full Name | Vancouver Dg Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1185 Nw 178th Ave, Beaverton, Oregon |
Authorized Official Name and Position | Ryan Smith (MANAGER) |
Authorized Official Contact | 9717089540 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vancouver Dg Llc 1185 Nw 178th Ave Beaverton OR 97006-3364 Ph: () - | Vancouver Dg Llc 1185 Nw 178th Ave Beaverton OR 97006-3364 Ph: (971) 708-9540 |
NPI Number | 1972231413 |
---|---|
Provider Enumeration Date | 08/11/2022 |
Last Update Date | 08/11/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972231413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
News Archive
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