Burlingame Dental Arts

NPI #1962506113 in Portland, Oregon

Provider Information

NPI Number: 1962506113
Entity Type: Organization
Organization Name: Burlingame Dental Arts
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 9, 2006
Last Updated: Jul 22, 2010

Practice Location

Address: 7471 SW BARBUR BLVD
City: Portland
State: Oregon
ZIP Code: 97219-2809
Phone: (503) 246-8447

Authorized Official

Name: DIANE T LORENZEN
Title: OFFICE MANAGER
Phone: (503) 246-8447

Specialties & Taxonomy Codes

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

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