Beaverton Sandy Dental Clinic PC

NPI #1528574829 in Beaverton, Oregon

Provider Information

NPI Number: 1528574829
Entity Type: Organization
Organization Name: Beaverton Sandy Dental Clinic PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 21, 2017
Last Updated: Dec 22, 2017

Practice Location

Address: 12520 SW 1ST ST
City: Beaverton
State: Oregon
ZIP Code: 97005-0550
Phone: (502) 646-5230

Authorized Official

Name: MRS. MY DANG, DDS
Title: DIRECTOR
Phone: (503) 646-5230

Specialties & Taxonomy Codes

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

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