Tualatin Modern Dentistry,pc

NPI #1437499852 in Tualatin, Oregon

Provider Information

NPI Number: 1437499852
Entity Type: Organization
Organization Name: Tualatin Modern Dentistry,pc
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 21, 2013
Last Updated: Mar 9, 2022

Practice Location

Address: 7017 SW NYBERG STREET
City: Tualatin
State: Oregon
ZIP Code: 97062
Phone: (503) 612-8736

Authorized Official

Name: DR. KRISTA MATTSON, DDS
Title: OWNER
Phone: (503) 612-8736

Specialties & Taxonomy Codes

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

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