Scappoose Dental Specialty Clinic, LLC

NPI #1275808826 in Scappoose, Oregon

Provider Information

NPI Number: 1275808826
Entity Type: Organization
Organization Name: Scappoose Dental Specialty Clinic, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Mar 15, 2012
Last Updated: Mar 15, 2012

Practice Location

Address: 51701 COLUMBIA RIVER HWY
City: Scappoose
State: Oregon
ZIP Code: 97056-4441
Phone: (503) 987-1378

Authorized Official

Name: DR. TSUNG-JU HSIEH, D.D.S., M.S.D.
Title: PRESIDENT
Phone: (503) 987-1378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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