Bridgeport Dental LLC

NPI #1093086415 in Tigard, Oregon

Provider Information

NPI Number
1093086415
Entity Type
Organization
Organization Name
Bridgeport Dental LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 17, 2012
Last Updated
Jan 17, 2012

Practice Location

Address
18035 SW LOWER BOONES FERRY RD
City
Tigard
State
Oregon
ZIP Code
97224-7228
Phone
(503) 906-8600

Authorized Official

Name
GEROGE KANG, DDS
Title
DDS
Phone
(503) 906-8600

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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