Eastport Plaza Dental P.c.

NPI #1699927863 in Portland, Oregon

Provider Information

NPI Number: 1699927863
Entity Type: Organization
Organization Name: Eastport Plaza Dental P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 19, 2008
Last Updated: Oct 19, 2008

Practice Location

Address: 4410 SE 82ND AVE
Address 2: SUITE 2050
City: Portland
State: Oregon
ZIP Code: 97266-2941
Phone: (503) 771-0081

Authorized Official

Name: MR. TRUC THAT TON, DMD
Title: PRESIDENT
Phone: (503) 771-0081

Specialties & Taxonomy Codes

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

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