Modern Edge Dental, LLC

NPI #1629935218 in West Linn, Oregon

Provider Information

NPI Number: 1629935218
Entity Type: Organization
Organization Name: Modern Edge Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 6, 2026
Last Updated: Jan 6, 2026

Practice Location

Address: 18676 WILLAMETTE DR STE 202
City: West Linn
State: Oregon
ZIP Code: 97068-1718
Phone: (503) 708-7201

Authorized Official

Name: MILTON EDUARDO RAMIREZ CUEVAS, DMD
Title: OWNER
Phone: (503) 708-7201

Specialties & Taxonomy Codes

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

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