Sandy Dental Clinic PC

NPI #1699818088 in Beaverton, Oregon

Provider Information

NPI Number: 1699818088
Entity Type: Organization
Organization Name: Sandy Dental Clinic PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 15, 2007
Last Updated: Jun 26, 2015

Practice Location

Address: 12520 SW 1ST ST
City: Beaverton
State: Oregon
ZIP Code: 97005-0550
Phone: (503) 646-5230

Authorized Official

Name: DR. KHIET MINH TRAN, D.D.S.
Title: PRESIDENT
Phone: (503) 646-5230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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