Portland Emergency Dental Care USA PC

NPI #1427594118 in Portland, Oregon

Provider Information

NPI Number: 1427594118
Entity Type: Organization
Organization Name: Portland Emergency Dental Care USA PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 18, 2017
Last Updated: Jan 18, 2017

Practice Location

Address: 8401 NE HALSEY ST
Address 2: STE 12
City: Portland
State: Oregon
ZIP Code: 97220-5670
Phone: (503) 234-9911

Authorized Official

Name: MICHAEL OBENG
Title: OWNER
Phone: (402) 393-2726

Specialties & Taxonomy Codes

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

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