Clackamas Town Dental, LLC

NPI #1699027672 in Clackamas, Oregon

Provider Information

NPI Number: 1699027672
Entity Type: Organization
Organization Name: Clackamas Town Dental, LLC
Primary Specialty: Dentist
Enumeration Date: Oct 15, 2012
Last Updated: Oct 15, 2012

Practice Location

Address: 9225 SE SUNNYSIDE ROAD
City: Clackamas
State: Oregon
ZIP Code: 97086
Phone: (503) 905-3380

Authorized Official

Name: DR. SARAH NICHOL, DDS
Title: DIRECTOR OF FINANCES
Phone: (503) 880-8581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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