Mountainside General Dentistry
NPI #1215104476 in Portland, Oregon
Provider Information
- NPI Number
- 1215104476
- Entity Type
- Organization
- Organization Name
- Mountainside General Dentistry
- Primary Specialty
- Dentist
- Enumeration Date
- May 15, 2008
- Last Updated
- May 15, 2008
Practice Location
Authorized Official
- Name
- DR. LENORE SUPNET, D.M.D.
- Title
- DENTIST
- Phone
- (503) 762-2525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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