Tigard Modern Dentistry and Orthodontics, PC

NPI #1649640434 in Tigard, Oregon

Provider Information

NPI Number: 1649640434
Entity Type: Organization
Organization Name: Tigard Modern Dentistry and Orthodontics, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 6, 2015
Last Updated: Mar 9, 2022

Practice Location

Address: 12266 SW SCHOLLS FERRY RD
City: Tigard
State: Oregon
ZIP Code: 97223-3354
Phone: (503) 455-8483

Authorized Official

Name: DR. VIVIAN LAM, DMD
Title: OWNER
Phone: (503) 455-8483

Specialties & Taxonomy Codes

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

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