Organization · Type 2 NPI
Mt. Hood Dental Clinic
Dental Clinic/Center · Sandy, OR
NPI number
1992064646
Active
Practice location
39880 Pleasant St
Sandy, OR 97055
Fax (503) 668-9727
Mailing address
PO Box 458
Sandy, OR 97055-0458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D6973 (OR) |
Dental Clinic/Center: Definition to come...
About NPI 1992064646
Mt. Hood Dental Clinic's National Provider Identifier is 1992064646, issued on May 15, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Sandy, OR. The record was last updated on May 15, 2012.