Organization · Type 2 NPI
Hollywood Family Dentistry
Dental Clinic/Center · Portland, OR
NPI number
1902277551
Active
Practice location
1735 NE 40th Ave
Portland, OR 97212-5307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D8790 (OR) |
Dental Clinic/Center: Definition to come...
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About NPI 1902277551
Hollywood Family Dentistry's National Provider Identifier is 1902277551, issued on Oct 8, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Portland, OR. The record was last updated on Oct 8, 2015.