Sunnyside Family Dentistry LLC

NPI #1174004220 in Clackamas, Oregon

Provider Information

NPI Number: 1174004220
Entity Type: Organization
Organization Name: Sunnyside Family Dentistry LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Aug 27, 2018
Last Updated: Aug 27, 2018

Practice Location

Address: 11808 SE SUNNYSIDE RD
City: Clackamas
State: Oregon
ZIP Code: 97015-9308
Phone: (503) 698-1112

Authorized Official

Name: ALYSSA WILLIAMS
Title: OFFICE MANAGER
Phone: (503) 752-7463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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