West Coast Dental

NPI #1699936575 in Portland, Oregon

Provider Information

NPI Number: 1699936575
Entity Type: Organization
Organization Name: West Coast Dental
Primary Specialty: Dentist
Enumeration Date: Jun 23, 2008
Last Updated: Jun 23, 2008

Practice Location

Address: 732 SW 3RD AVE
Address 2: SUITE 202
City: Portland
State: Oregon
ZIP Code: 97204-2416
Phone: (503) 541-2580

Authorized Official

Name: JERRY SLAUGHTER
Title: HR
Phone: (541) 242-8904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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