Cornelius Tendercare Dental PC

NPI #1922424738 in Cornelius, Oregon

Provider Information

NPI Number: 1922424738
Entity Type: Organization
Organization Name: Cornelius Tendercare Dental PC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Mar 17, 2014
Last Updated: Mar 17, 2014

Practice Location

Address: 1890 BASELINE ST
City: Cornelius
State: Oregon
ZIP Code: 97113-8208
Phone: (503) 357-0004

Authorized Official

Name: DR. JUSTIN R MAROSTICA, D.M.D.
Title: PRESIDENT
Phone: (503) 858-0741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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