Pendleton Family Dental LLC
Dentist in Pendleton, OR. Organization (NPI-2).
NPI number1487980439
StatusActive
Last updated in NPPESOct 27, 2009
Details
- NPI
- 1487980439
- Entity type
- Organization (NPI-2)
- Legal business name
- Pendleton Family Dental LLC
- Organization subpart
- No
- Enumeration date
- Oct 27, 2009
- Last updated
- Oct 27, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
2801 Sw Nye AvePendleton, OR 97801-3833
Phone 541-276-7051 · Fax 541-276-1020
Mailing address
2801 Sw Nye AvePendleton, OR 97801-3833
Phone 541-276-7051 · Fax 541-276-1020
Authorized official
Loc V Vuu
Owner
5412767051
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