Stoneridge Dentistry LLC
NPI #1740561729 in Wilsonville, Oregon
Provider Information
- NPI Number
- 1740561729
- Entity Type
- Organization
- Organization Name
- Stoneridge Dentistry LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 2, 2011
- Last Updated
- Sep 2, 2011
Practice Location
- Address
- 8642 SW MAIN ST # 230
- City
- Wilsonville
- State
- Oregon
- ZIP Code
- 97070-6585
- Phone
- (503) 622-8211
Authorized Official
- Name
- DR. THOMAS CLARK, DMD
- Title
- BUSINESS OWNER/DENTIST
- Phone
- (503) 622-8211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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