HOLLYWOOD CHILDREN'S DENTISTRY NPI 1538438296

NPI Information

HOLLYWOOD CHILDREN'S DENTISTRY is a pediatric dentistry dentist in Portland, OR. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. HOLLYWOOD CHILDREN'S DENTISTRY NPI is 1538438296. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3839 NE TILLAMOOK ST
PORTLAND, OR
ZIP 97212-338
Phone: (503) 288-5891
Fax: (503) 288-1525

The provider's authorized official is Krista V Badger .
The authorized official title is Owner/partner and has the following contact phone number (503) 288-5891.

The enumeration date for this NPI number is 12/23/2011 and was last updated on 12/23/2011.

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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