Organization · Type 2 NPI
Stoneridge Dentistry LLC
Dental Clinic/Center · Wilsonville, OR
NPI number
1740561729
Active
Practice location
8642 SW Main St # 230
Wilsonville, OR 97070-6585
Fax (503) 684-1207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D9460 (OR) |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Wilsonville
About NPI 1740561729
Stoneridge Dentistry LLC's National Provider Identifier is 1740561729, issued on Sep 2, 2011. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Wilsonville, OR. The record was last updated on Sep 2, 2011.