Hazelnut Dental LLC

NPI #1285193003 in Beaverton, Oregon

Provider Information

NPI Number: 1285193003
Entity Type: Organization
Organization Name: Hazelnut Dental LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Mar 19, 2019
Last Updated: Mar 19, 2019

Practice Location

Address: 10773 SW BEAVERTON-HILLSDALE HWY
Address 2: STE B
City: Beaverton
State: Oregon
ZIP Code: 97005
Phone: (503) 828-0928

Authorized Official

Name: DR. JOSHUA KIM, DDS
Title: OWNER
Phone: (503) 828-0928

Specialties & Taxonomy Codes

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

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