Portland Dental Anesthesia

NPI #1639604689 in Sherwood, Oregon

Provider Information

NPI Number
1639604689
Entity Type
Organization
Organization Name
Portland Dental Anesthesia
Primary Specialty
Dentist - Dental Anesthesiology
Enumeration Date
Apr 27, 2017
Last Updated
Apr 27, 2017

Practice Location

Address
21370 SW LANGER FARMS PKWY #142
State
Oregon
ZIP Code
97140-9137
Phone
(503) 858-4880

Authorized Official

Name
DR. RYAN T ALLRED, DMD
Title
OWNER
Phone
(503) 858-4880

Specialties & Taxonomy Codes

Specialty
Dentist - Dental AnesthesiologyDental Anesthesiology

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