Alameda Dental LLC

NPI #1972854628 in Portland, Oregon

Provider Information

NPI Number: 1972854628
Entity Type: Organization
Organization Name: Alameda Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 20, 2012
Last Updated: Sep 20, 2012

Practice Location

Address: 2422 NE FREMONT ST
City: Portland
State: Oregon
ZIP Code: 97212-2509
Phone: (503) 287-1554

Authorized Official

Name: DR. RONALD C SELIS, D.M.D.
Title: PRESIDENT
Phone: (503) 287-1554

Specialties & Taxonomy Codes

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

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