Appletree Dentistry LLC
Dentist in Tigard, OR. Organization (NPI-2).
NPI number1619081254
StatusActive
Last updated in NPPESFeb 27, 2013
Details
- NPI
- 1619081254
- Entity type
- Organization (NPI-2)
- Legal business name
- Appletree Dentistry LLC
- Organization subpart
- No
- Enumeration date
- Aug 19, 2006
- Last updated
- Feb 27, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D4589 | OR | Yes |
Practice location
16035 Sw Pacific HwyTigard, OR 97224-3438
Phone 503-620-2185 · Fax 503-670-4863
Mailing address
16035 Sw Pacific HwyTigard, OR 97224-3438
Phone 503-620-2185 · Fax 503-670-4863
Authorized official
Toivo T Sepp
Dmd
5036202185
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