Dental Doc PC

NPI #1285618470 in Clackamas, Oregon

Provider Information

NPI Number: 1285618470
Entity Type: Organization
Organization Name: Dental Doc PC
Primary Specialty: Dentist
Enumeration Date: Dec 1, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 11808 SE SUNNYSIDE RD
City: Clackamas
State: Oregon
ZIP Code: 97015-9308
Phone: (503) 698-1112

Authorized Official

Name: SANDRA MARIA IACOB, DDS
Title: PRESIDENT
Phone: (803) 698-1112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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