Emergency Tooth Doctor Hillsboro, Prof. Corp.
Dentist, General Practice in Hillsboro, OR. Organization (NPI-2).
NPI number1124569769
StatusActive
Last updated in NPPESMar 15, 2017
Details
- NPI
- 1124569769
- Entity type
- Organization (NPI-2)
- Legal business name
- Emergency Tooth Doctor Hillsboro, Prof. Corp.
- Organization subpart
- No
- Enumeration date
- Mar 15, 2017
- Last updated
- Mar 15, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D8300 | OR | Yes |
Other names
- Emergency Tooth Doctor Hillsboro (Doing Business As)
Practice location
752 Se Oak StHillsboro, OR 97123
Phone 503-681-9968
Mailing address
405 Se 8th AveHillsboro, OR 97123-4211
Phone 503-681-9968
Authorized official
Thomas T Pham
Dentist
9712266233
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