Emergency Tooth Doctor Vancouver, P.c.

NPI #1730578360 in Beaverton, Oregon

Provider Information

NPI Number: 1730578360
Entity Type: Organization
Organization Name: Emergency Tooth Doctor Vancouver, P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 20, 2015
Last Updated: Jan 20, 2015

Practice Location

Address: 14665 SW MILLIKAN WAY
City: Beaverton
State: Oregon
ZIP Code: 97003-2999
Phone: (503) 641-2200

Authorized Official

Name: DR. THOMAS T PHAM, D.M.D
Title: PRESIDENT/DENTIST
Phone: (503) 641-2200

Specialties & Taxonomy Codes

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

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