Three Rivers Dental

NPI #1467536318 in Rainier, Oregon

Provider Information

NPI Number
1467536318
Entity Type
Organization
Organization Name
Three Rivers Dental
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 25, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
101 5TH ST W
State
Oregon
ZIP Code
97048
Phone
(503) 556-3744

Authorized Official

Name
JOHN PHAM, DDS
Title
PRESIDENT
Phone
(360) 740-6212

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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