Vancouver Dg LLC

NPI #1972231413 in Beaverton, Oregon

Provider Information

NPI Number
1972231413
Entity Type
Organization
Organization Name
Vancouver Dg LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 11, 2022
Last Updated
Aug 11, 2022

Practice Location

Address
1185 NW 178TH AVE
State
Oregon
ZIP Code
97006-3364
Phone
(971) 708-9540

Authorized Official

Name
RYAN SMITH, DDS
Title
MANAGER
Phone
(971) 708-9540

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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