Organization · Type 2 NPI
Tualatin Pediatric Dentistry
Dental Clinic/Center · Tualatin, OR
NPI number
1255762449
Active
Practice location
18803 SW Boones Ferry Rd, Suite 5
Tualatin, OR 97062-8412
Fax (503) 612-6948
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D9222 (OR) |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Tualatin
About NPI 1255762449
Tualatin Pediatric Dentistry's National Provider Identifier is 1255762449, issued on Dec 12, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Tualatin, OR. The record was last updated on Dec 12, 2013.