Willamette Dental

NPI #1255761524 in Beaverton, Oregon

Provider Information

NPI Number
1255761524
Entity Type
Organization
Organization Name
Willamette Dental
Primary Specialty
Preferred Provider Organization
Enumeration Date
Nov 22, 2013
Last Updated
Nov 22, 2013

Practice Location

Address
4925 SW GRIFFITH DR.
State
Oregon
ZIP Code
97005
Phone
(503) 352-4896

Authorized Official

Name
MRS. STACY REED
Title
DENTAL HYGIENIST
Phone
(503) 352-4896

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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