Periodontal Associates, LLC

NPI #1669710331 in Tualatin, Oregon

Provider Information

NPI Number
1669710331
Entity Type
Organization
Organization Name
Periodontal Associates, LLC
Primary Specialty
Dentist - Periodontics
Enumeration Date
Jan 30, 2013
Last Updated
Aug 24, 2015

Practice Location

Address
18753 SW MARTINAZZI AVE
State
Oregon
ZIP Code
97062-6808
Phone
(503) 620-2807

Authorized Official

Name
BRADLEY MCALLISTER, DDS, PHD
Title
PARTNER
Phone
(503) 620-2807

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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