CHERRY DENTAL OF BEAVERTON NPI 1841724481

NPI Information

CHERRY DENTAL OF BEAVERTON is a dental clinic center in Beaverton, OR. CHERRY DENTAL OF BEAVERTON NPI is 1841724481. The provider is registered as an organization entity type.

The provider's business location address is:

8070 SW HALL BLVD
SUITE 100
BEAVERTON, OR
ZIP 97008-419
Phone: (503) 567-7461
Fax: (503) 641-6431

The provider's authorized official is Angela Kati Marecek .
The authorized official title is Office Manager and has the following contact phone number (503) 644-1110.

The enumeration date for this NPI number is 4/19/2017 and was last updated on 4/19/2017.

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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