Oregon Endodontic Group
NPI #1366793192 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1366793192
- Entity Type
- Organization
- Organization Name
- Oregon Endodontic Group
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Sep 19, 2012
- Last Updated
- Sep 19, 2012
Practice Location
- Address
- 320 A AVE
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97034-3056
- Phone
- (503) 636-3383
Authorized Official
- Name
- LEILA TARSA
- Title
- OWNER
- Phone
- (503) 636-3383
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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