Tigard City Dental PC

NPI #1184071003 in Tigard, Oregon

Provider Information

NPI Number: 1184071003
Entity Type: Organization
Organization Name: Tigard City Dental PC
Primary Specialty: Dentist
Enumeration Date: May 20, 2016
Last Updated: May 20, 2016

Practice Location

Address: 11565 SW HALL BLVD
Address 2: STE A
City: Tigard
State: Oregon
ZIP Code: 97223-8493
Phone: (503) 620-2131

Authorized Official

Name: DR. JOHN D CHUNG, DDS
Title: OWNER
Phone: (503) 679-7730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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