Division Family Dental LLC

NPI #1538614458 in Gresham, Oregon

Provider Information

NPI Number: 1538614458
Entity Type: Organization
Organization Name: Division Family Dental LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Aug 21, 2016
Last Updated: Aug 21, 2016

Practice Location

Address: 2484 NE DIVISION ST
City: Gresham
State: Oregon
ZIP Code: 97030-6020
Phone: (503) 559-6533

Authorized Official

Name: DR. TERESA NGUYEN, DMD
Title: DENTIST
Phone: (503) 559-6533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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