Canterbury Dental, LLC

NPI #1821104407 in Tigard, Oregon

Provider Information

NPI Number: 1821104407
Entity Type: Organization
Organization Name: Canterbury Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 23, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 14465 SW PACIFIC HWY
City: Tigard
State: Oregon
ZIP Code: 97224-3662
Phone: (503) 620-9333

Authorized Official

Name: DR. CARVEL LERALPH STANDER, DMD
Title: OWNER
Phone: (503) 620-9333

Specialties & Taxonomy Codes

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

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