Village Dental
NPI #1538434014 in Wilsonville, Oregon
Provider Information
- NPI Number
- 1538434014
- Entity Type
- Organization
- Organization Name
- Village Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 15, 2012
- Last Updated
- Mar 15, 2012
Practice Location
- Address
- 29174 SW TOWN CENTER LOOP W
- Address 2
- 201
- City
- Wilsonville
- State
- Oregon
- ZIP Code
- 97070-9306
- Phone
- (503) 582-8255
Authorized Official
- Name
- DR. YAN Z GARDNER, DDS
- Title
- DENTIST
- Phone
- (503) 582-8255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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