Wilsonville Dental Group PC
NPI #1679621080 in Wilsonville, Oregon
Provider Information
- NPI Number
- 1679621080
- Entity Type
- Organization
- Organization Name
- Wilsonville Dental Group PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 29292 SW TOWN CENTER LOOP E
- City
- Wilsonville
- State
- Oregon
- ZIP Code
- 97070
- Phone
- (503) 682-0431
Authorized Official
- Name
- TERRENCE A CLARK, DMD
- Title
- OWNER
- Phone
- (503) 682-0431
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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| DR. John A Bullock, DMD |  AI Deep Dive |
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