Willettedental

NPI #1710317482 in Beaverton, Oregon

Provider Information

NPI Number
1710317482
Entity Type
Organization
Organization Name
Willettedental
Primary Specialty
Preferred Provider Organization
Enumeration Date
Nov 17, 2013
Last Updated
Nov 17, 2013

Practice Location

Address
4925 SW GRIFFITH DR
State
Oregon
ZIP Code
97005-2923
Phone
(916) 899-9665

Authorized Official

Name
PEGGY CLIFTON
Title
DENTAL HYGIENIST
Phone
(916) 899-9665

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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