Oregon Mobile Dentistry, P.c.

NPI #1093138893 in Tigard, Oregon

Provider Information

NPI Number: 1093138893
Entity Type: Organization
Organization Name: Oregon Mobile Dentistry, P.c.
Primary Specialty: Dentist
Enumeration Date: Jan 29, 2014
Last Updated: Jan 29, 2014

Practice Location

Address: 11820 SW KING JAMES PL STE 10J
City: Tigard
State: Oregon
ZIP Code: 97224-2481
Phone: (503) 616-5000

Authorized Official

Name: GREGORY A WILLIAMS, DMD
Title: CHIEF EXECUTIVE/DENTIST
Phone: (503) 616-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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