EASTPORT PLAZA DENTAL P.C. NPI 1699927863

NPI Information

EASTPORT PLAZA DENTAL P.C. is a general practice dentist in Portland, 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. EASTPORT PLAZA DENTAL P.C. NPI is 1699927863. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4410 SE 82ND AVE
SUITE 2050
PORTLAND, OR
ZIP 97266-941
Phone: (503) 771-0081
Fax: (503) 772-2272

The provider's authorized official is Truc That Ton .
The authorized official title is President and has the following contact phone number (503) 771-0081.

The enumeration date for this NPI number is 10/19/2008 and was last updated on 10/19/2008.

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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