B and T LLC

NPI #1063921823 in Portland, Oregon

Provider Information

NPI Number: 1063921823
Entity Type: Organization
Organization Name: B and T LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 25, 2017
Last Updated: Sep 25, 2017

Practice Location

Address: 10211 SW PARK WAY
City: Portland
State: Oregon
ZIP Code: 97225-5009
Phone: (503) 233-3622

Authorized Official

Name: BAO V PHAM, DMD
Title: OWNER
Phone: (503) 233-3622

Specialties & Taxonomy Codes

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

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