Beaverton Periodontics

NPI #1336419787 in Beaverton, Oregon

Provider Information

NPI Number
1336419787
Entity Type
Organization
Organization Name
Beaverton Periodontics
Primary Specialty
Dentist - Periodontics
Enumeration Date
Jan 3, 2012
Last Updated
Jan 3, 2012

Practice Location

Address
14500 SW MURRAY SCHOLLS DR
Address 2
SUITE #101
State
Oregon
ZIP Code
97007-9277
Phone
(503) 747-0095

Authorized Official

Name
DR. DUY ANH TRAN, DMD
Title
PRESIDENT
Phone
(503) 747-0095

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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