Willamette Dental
NPI #1194143065 in Beaverton, Oregon
Provider Information
- NPI Number
- 1194143065
- Entity Type
- Organization
- Organization Name
- Willamette Dental
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Mar 28, 2014
- Last Updated
- Mar 28, 2014
Practice Location
Authorized Official
- Name
- MANIMONE PHANTHAMATH, RDH
- Title
- DENTAL HYGIENIST
- Phone
- (503) 715-7876
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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