BEAVERTON DENTAL CENTER LLC NPI 1023367513

NPI Information

BEAVERTON DENTAL CENTER LLC is a general practice dentist in Beaverton, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BEAVERTON DENTAL CENTER LLC NPI is 1023367513. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11673 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR
ZIP 97005-928
Phone: (503) 641-4328
Fax: (503) 644-8454

The provider's authorized official is John Williams .
The authorized official title is Owner and has the following contact phone number (503) 641-4328.

The enumeration date for this NPI number is 8/30/2012 and was last updated on 8/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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