Northwest Oral Pathology

NPI #1790229888 in Tigard, Oregon

Provider Information

NPI Number
1790229888
Entity Type
Organization
Organization Name
Northwest Oral Pathology
Primary Specialty
Dentist - Oral and Maxillofacial Pathology
Enumeration Date
Dec 8, 2016
Last Updated
Dec 8, 2016

Practice Location

Address
12254 SW GARDEN PL
City
Tigard
State
Oregon
ZIP Code
97223-8246
Phone
(503) 906-7300

Authorized Official

Name
FRANK JAMES KRATOCHVIL III, DDS
Title
OWNER
Phone
(503) 906-7300

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial PathologyOral and Maxillofacial Pathology

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