Permanente Dental Associates, PC

NPI #1669492500 in Tigard, Oregon

Provider Information

NPI Number
1669492500
Entity Type
Organization
Organization Name
Permanente Dental Associates, PC
Primary Specialty
Health Maintenance Organization
Enumeration Date
Jul 21, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
7105 SW HAMPTON ST
City
Tigard
State
Oregon
ZIP Code
97223-8314
Phone
(503) 684-9274

Authorized Official

Name
DR. DONALD PRASNICAR, DMD
Title
DENTAL DIRECTOR
Phone
(503) 684-9274

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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