Family Dental Care, INC
Health Maintenance Organization in Portland, OR. Organization (NPI-2).
NPI number1124264841
StatusActive
Last updated in NPPESDec 30, 2008
Details
- NPI
- 1124264841
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Dental Care, INC
- Organization subpart
- No
- Enumeration date
- Dec 30, 2008
- Last updated
- Dec 30, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
Practice location
1890 Ne 162nd AvePortland, OR 97230-5642
Phone 503-644-1110 · Fax 503-641-6431
Mailing address
1890 Ne 162nd AvePortland, OR 97230-5642
Phone 503-644-1110 · Fax 503-641-6431
Authorized official
Hadi Nouredine
Ceo
5036441110
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All 33 Health Maintenance Organization providers in Portland · All 48,847 providers in Portland
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