Beaverton Tendercare

NPI #1235365602 in Beaverton, Oregon

Provider Information

NPI Number
1235365602
Entity Type
Organization
Organization Name
Beaverton Tendercare
Primary Specialty
Dentist - General Practice
Enumeration Date
May 29, 2009
Last Updated
May 29, 2009

Practice Location

Address
4095 SW 144TH AVE STE A
State
Oregon
ZIP Code
97005-2368
Phone
(503) 643-4719

Authorized Official

Name
DR. LENNIE D WONG, DMD
Title
DOCTOR
Phone
(503) 643-4719

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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