Beaverton Dental Arts LLC

NPI #1184617516 in Beaverton, Oregon

Provider Information

NPI Number
1184617516
Entity Type
Organization
Organization Name
Beaverton Dental Arts LLC
Primary Specialty
Dentist
Enumeration Date
Aug 31, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
12751 SW 2ND ST
State
Oregon
ZIP Code
97005-2708
Phone
(503) 644-3312

Authorized Official

Name
DR. THAO D NGUYEN, DMD
Title
MEMBER
Phone
(503) 644-3312

Specialties & Taxonomy Codes

Specialty
Dentist

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