ODONTO PROSTHETICS NPI 1871897496

NPI Information

ODONTO PROSTHETICS is a dental laboratory in Portland, OR. The provider is a commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. ODONTO PROSTHETICS NPI is 1871897496. The provider is registered as an organization entity type.

The provider's business location address is:

15 SE 22ND AVENUE
PORTLAND, OR
ZIP 97214-679
Phone: (503) 235-0774

The provider's authorized official is Peter Phan .
The authorized official title is Owner and has the following contact phone number (503) 235-0774.

The enumeration date for this NPI number is 12/23/2010 and was last updated on 12/23/2010.

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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