Harrison Dental, LLC

NPI #1619188711 in Portland, Oregon

Provider Information

NPI Number: 1619188711
Entity Type: Organization
Organization Name: Harrison Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 24, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1800 S.W. 1RST AVE.
Address 2: SUITE 530
City: Portland
State: Oregon
ZIP Code: 97201-5328
Phone: (503) 222-6611

Authorized Official

Name: DR. MARK J. KAIP, D.D.S.
Title: DR. MARK KAIP, D.D. S., P.C.
Phone: (503) 222-6611

Specialties & Taxonomy Codes

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

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