Willamette Dental Group

NPI #1457763195 in Beaverton, Oregon

Provider Information

NPI Number
1457763195
Entity Type
Organization
Organization Name
Willamette Dental Group
Primary Specialty
Health Maintenance Organization
Enumeration Date
May 29, 2014
Last Updated
May 29, 2014

Practice Location

Address
4925 SW GRIFFITH DR
State
Oregon
ZIP Code
97005-2923
Phone
(503) 444-1822

Authorized Official

Name
LINDSEY KATHLEEN REEVES
Title
DENTAL HYGIENIST
Phone
(503) 444-1822

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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