Beaverton Dental Center LLC

NPI #1023367513 in Beaverton, Oregon

Provider Information

NPI Number: 1023367513
Entity Type: Organization
Organization Name: Beaverton Dental Center LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 30, 2012
Last Updated: Aug 30, 2012

Practice Location

Address: 11673 SW BEAVERTON HILLSDALE HWY
City: Beaverton
State: Oregon
ZIP Code: 97005-2928
Phone: (503) 641-4328

Authorized Official

Name: JOHN WILLIAMS
Title: OWNER
Phone: (503) 641-4328

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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