PEDIATRIC DENTISTRY, RC 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. PEDIATRIC DENTISTRY, RC NPI is 1720240427. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2824 NE WASCO ST
SUITE 230
PORTLAND, OR
ZIP 97232-772
Phone: (503) 284-5678
The provider's authorized official is Noel V Larsen .
The authorized official title is Dentist/owner Of Practice and has the following contact phone number (503) 284-5678.
The enumeration date for this NPI number is 6/25/2008 and was last updated on 6/25/2008.