Central Point Dental LLC
Clinic/Center, Dental in Happy Valley, OR. Organization (NPI-2).
NPI number1164080875
StatusActive
Last updated in NPPESMay 29, 2019
Details
- NPI
- 1164080875
- Entity type
- Organization (NPI-2)
- Legal business name
- Central Point Dental LLC
- Organization subpart
- No
- Enumeration date
- May 29, 2019
- Last updated
- May 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
12338 Se 143rd PlHappy Valley, OR 97086-6545
Phone 503-665-8283
Mailing address
12338 Se 143rd PlHappy Valley, OR 97086-6545
Phone 503-665-8283
Authorized official
Seth M Monson
Owner
5036658283
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