Clackamas Square Dental Group, PC
NPI #1336578418 in Happy Valley, Oregon
Provider Information
- NPI Number
- 1336578418
- Entity Type
- Organization
- Organization Name
- Clackamas Square Dental Group, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 8, 2013
- Last Updated
- Nov 8, 2013
Practice Location
- Address
- 11398 SE 82ND AVE
- Address 2
- SUITE 802
- City
- Happy Valley
- State
- Oregon
- ZIP Code
- 97086-7637
- Phone
- (503) 513-6000
Authorized Official
- Name
- DR. RICHARD ASHTON, DMD
- Title
- OWNER
- Phone
- (503) 513-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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