Revolution Dental Implant Center
NPI #1194423988 in Oregon City, Oregon
Provider Information
- NPI Number
- 1194423988
- Entity Type
- Organization
- Organization Name
- Revolution Dental Implant Center
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 21, 2023
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 19017 BEAVERCREEK RD
- City
- Oregon City
- State
- Oregon
- ZIP Code
- 97045-9537
- Phone
- (503) 777-3333
Authorized Official
- Name
- BRADLEY HOUTMAN
- Title
- OPERATIONS MANAGER
- Phone
- (503) 777-3333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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