Emergency Tooth Doctor Downtown,p.c.

NPI #1386902757 in Portland, Oregon

Provider Information

NPI Number: 1386902757
Entity Type: Organization
Organization Name: Emergency Tooth Doctor Downtown,p.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 24, 2012
Last Updated: Apr 24, 2012

Practice Location

Address: 1505 SW BROADWAY
City: Portland
State: Oregon
ZIP Code: 97201-3414
Phone: (503) 222-0090

Authorized Official

Name: THOMAS PHAM, DMD
Title: DENTIST
Phone: (503) 641-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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