Cornell Family Dental

NPI #1871841429 in Portland, Oregon

Provider Information

NPI Number: 1871841429
Entity Type: Organization
Organization Name: Cornell Family Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 29, 2012
Last Updated: Jun 14, 2023

Practice Location

Address: 12889 NW CORNELL RD
City: Portland
State: Oregon
ZIP Code: 97229
Phone: (503) 643-6643

Authorized Official

Name: MRS. LINDSAY IRENE FREED, DMD
Title: OWNER/DENTIST
Phone: (503) 260-4296

Specialties & Taxonomy Codes

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

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