Laurelhurst Dentistry LLC

NPI #1992982938 in Portland, Oregon

Provider Information

NPI Number: 1992982938
Entity Type: Organization
Organization Name: Laurelhurst Dentistry LLC
Primary Specialty: Dentist
Enumeration Date: Jan 22, 2008
Last Updated: Aug 22, 2008

Practice Location

Address: 2520 E BURNSIDE ST
City: Portland
State: Oregon
ZIP Code: 97214-1754
Phone: (503) 233-3622

Authorized Official

Name: DR. ADRIENNE FISCHL, D.M.D
Title: OWNER/DENTIST
Phone: (503) 233-3622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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