Troutdale Dentalinc

NPI #1124414206 in Troutdale, Oregon

Provider Information

NPI Number: 1124414206
Entity Type: Organization
Organization Name: Troutdale Dentalinc
Primary Specialty: Dentist
Enumeration Date: Apr 15, 2015
Last Updated: Apr 15, 2015

Practice Location

Address: 191 E COLUMBIA RIVER HWY
City: Troutdale
State: Oregon
ZIP Code: 97060-2076
Phone: (503) 674-8767

Authorized Official

Name: MARK DORROUGH, DDS
Title: OWNER
Phone: (503) 674-8767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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