Organization · Type 2 NPI
Cedar Hills Legacy Dental LLC
Dental Clinic/Center · Portland, OR
NPI number
1659632677
Active
Practice location
2375 SW Cedar Hills Blvd
Portland, OR 97225-4513
Fax (503) 646-5565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D9096 (OR) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1659632677
Cedar Hills Legacy Dental LLC's National Provider Identifier is 1659632677, issued on Jun 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 Jun 6, 2012.