Viseh Sundberg DDS PC

NPI #1003181223 in Portland, Oregon

Provider Information

NPI Number: 1003181223
Entity Type: Organization
Organization Name: Viseh Sundberg DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 21, 2012
Last Updated: Mar 21, 2012

Practice Location

Address: 222 NW 10TH AVE
City: Portland
State: Oregon
ZIP Code: 97209-3109
Phone: (503) 546-9079

Authorized Official

Name: MR. KEVIN JON SUNDBERG, MT
Title: VICE PRESIDENT
Phone: (503) 546-9079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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