Avenue Dental Care

NPI #1306024880 in Clackamas, Oregon

Provider Information

NPI Number: 1306024880
Entity Type: Organization
Organization Name: Avenue Dental Care
Primary Specialty: Dentist
Enumeration Date: Feb 6, 2008
Last Updated: Feb 6, 2008

Practice Location

Address: 10001 SE SUNNYSIDE RD
Address 2: SUITE 250
City: Clackamas
State: Oregon
ZIP Code: 97015-5746
Phone: (503) 786-3000

Authorized Official

Name: DR. MAHADEEP S VIRK, DMD
Title: OWNER
Phone: (503) 786-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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