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Sandy Dental Pdx

NPI #1053886580 in Portland, Oregon

Provider Information

NPI Number
1053886580
Entity Type
Organization
Organization Name
Sandy Dental Pdx
Primary Specialty
Dentist
Enumeration Date
Oct 11, 2018
Last Updated
Oct 11, 2018

Practice Location

Address
7836 NE SANDY BLVD
City
Portland
State
Oregon
ZIP Code
97213
Phone
(503) 288-3107

Authorized Official

Name
PHONG THANH BUI, DMD
Title
PRESIDENT
Phone
(503) 473-7284

Specialties & Taxonomy Codes

Specialty
Dentist

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