Mt. Hood Dental Clinic

NPI #1992064646 in Sandy, Oregon

Provider Information

NPI Number: 1992064646
Entity Type: Organization
Organization Name: Mt. Hood Dental Clinic
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 15, 2012
Last Updated: May 15, 2012

Practice Location

Address: 39880 PLEASANT ST
City: Sandy
State: Oregon
ZIP Code: 97055
Phone: (503) 668-6226

Authorized Official

Name: BARBARA D KIM
Title: OFFICE MANAGER
Phone: (503) 668-6226

Specialties & Taxonomy Codes

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

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