Organization · Type 2 NPI
Jade Dental LLC
Dental Clinic/Center · Beaverton, OR
NPI number
1003467358
Active
Practice location
12450 SW Pioneer Ln
Beaverton, OR 97008-8377
Mailing address
3570 SW River Pkwy Unit 1611
Portland, OR 97239-4544
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1003467358
Jade Dental LLC's National Provider Identifier is 1003467358, issued on Sep 26, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Beaverton, OR. The record was last updated on Sep 26, 2019.