Troutdale Dental LLC

NPI #1518332923 in Troutdale, Oregon

Provider Information

NPI Number
1518332923
Entity Type
Organization
Organization Name
Troutdale Dental LLC
Subpart
Yes (part of a larger organization)
Parent Organization
NORTHWEST DENTAL GROUP, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 10, 2015
Last Updated
Dec 10, 2015

Practice Location

Address
191 E HISTORIC COLUMBIA RIVER HWY
State
Oregon
ZIP Code
97060-2076
Phone
(503) 674-8767

Authorized Official

Name
BRYANT ZOLLINGER
Title
OWNER/MEMBER
Phone
(503) 648-6671

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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