BEAVERTON SANDY DENTAL CLINIC PC NPI 1528574829

NPI Information

BEAVERTON SANDY DENTAL CLINIC PC 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 SANDY DENTAL CLINIC PC NPI is 1528574829. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12520 SW 1ST ST
BEAVERTON, OR
ZIP 97005-550
Phone: (502) 646-5230

The provider's authorized official is My Dang .
The authorized official title is Director and has the following contact phone number (503) 646-5230.

The enumeration date for this NPI number is 12/21/2017 and was last updated on 12/22/2017.

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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