West End Dental

NPI #1164569638 in Portland, Oregon

Provider Information

NPI Number: 1164569638
Entity Type: Organization
Organization Name: West End Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 31, 2007
Last Updated: Apr 20, 2008

Practice Location

Address: 833 SW 11TH AVE
Address 2: #300
City: Portland
State: Oregon
ZIP Code: 97205-2117
Phone: (503) 224-7815

Authorized Official

Name: DR. JAMES A KRIPPAEHNE, DMD
Title: OWNER
Phone: (503) 224-7815

Specialties & Taxonomy Codes

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

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