The Aesthetic

NPI #1669047973 in Lake Oswego, Oregon

Provider Information

NPI Number: 1669047973
Entity Type: Organization
Organization Name: The Aesthetic
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 20, 2021
Last Updated: May 20, 2021

Practice Location

Address: 410 1ST ST
City: Lake Oswego
State: Oregon
ZIP Code: 97034-3123
Phone: (971) 313-1535

Authorized Official

Name: LISA STANDAGE, RDH, EPDH
Title: OWNER/MANAGER
Phone: (971) 313-1535

Specialties & Taxonomy Codes

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

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