Woodburn Modern Dental LLC

NPI #1821643693 in Woodburn, Oregon

Provider Information

NPI Number
1821643693
Entity Type
Organization
Organization Name
Woodburn Modern Dental LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 7, 2019
Last Updated
Dec 31, 2019

Practice Location

Address
1641 MOUNT HOOD AVE
State
Oregon
ZIP Code
97071-9070
Phone
(713) 927-5101

Authorized Official

Name
DR. JABAL PATEL, DMD
Title
CO-OWNER
Phone
(847) 224-3846

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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