Organization · Type 2 NPI
Westside Periodontics & Implantology LLC
Dental Clinic/Center · Portland, OR
NPI number
1124390281
Active
Practice location
9934 NW Skyline Heights Dr
Portland, OR 97229-2634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D8855 (OR) |
Dental Clinic/Center: Definition to come...
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About NPI 1124390281
Westside Periodontics & Implantology LLC's National Provider Identifier is 1124390281, issued on Feb 6, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Portland, OR. The record was last updated on Feb 6, 2012.