Powell Family Dental

NPI #1023339199 in Portland, Oregon

Provider Information

NPI Number: 1023339199
Entity Type: Organization
Organization Name: Powell Family Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 11, 2010
Last Updated: Jun 11, 2010

Practice Location

Address: 11050 SE POWELL BLVD STE 378
City: Portland
State: Oregon
ZIP Code: 97266-1863
Phone: (503) 788-0405

Authorized Official

Name: OLGA DONTSOVA, DDS
Title: DENTIST
Phone: (503) 788-0405

Specialties & Taxonomy Codes

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

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