Prodental Hygiene LLC

NPI #1508130642 in Hillsboro, Oregon

Provider Information

NPI Number: 1508130642
Entity Type: Organization
Organization Name: Prodental Hygiene LLC
Primary Specialty: Residential Treatment Facility, Physical Disabilities
Enumeration Date: Mar 7, 2012
Last Updated: Mar 7, 2012

Practice Location

Address: 6279 NE CARILLION DR UNIT 103
City: Hillsboro
State: Oregon
ZIP Code: 97124-8092
Phone: (503) 729-2864

Authorized Official

Name: LILIA V HAMBLIN, RDH
Title: DENTAL HYGIENIST
Phone: (503) 729-2864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X
Alzheimer Center (Dementia Center)	311500000X
Custodial Care Facility - Adult Care Home — Adult Care Home	311ZA0620X
Skilled Nursing Facility - Nursing Care, Pediatric — Nursing Care, Pediatric	3140N1450X
Residential Treatment Facility, Physical Disabilities	320700000X	Primary

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Organizations

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