Tigard Family Dental, PC

NPI #1205135118 in Tigard, Oregon

Provider Information

NPI Number: 1205135118
Entity Type: Organization
Organization Name: Tigard Family Dental, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 17, 2011
Last Updated: Nov 28, 2012

Practice Location

Address: 11820 SW KING JAMES PL STE 20
City: Tigard
State: Oregon
ZIP Code: 97224-2481
Phone: (503) 620-2020

Authorized Official

Name: REBECCA ANN MARTINEZ
Title: OFFICE MANAGER
Phone: (503) 968-2901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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