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Organization
AMETHYST DENTAL LLC
Active
Organization
AMETHYST DENTAL LLC
Active
Other names
Hillside Dental at Bethany
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK CHUANG DDS (OWNER)
(510) 501-4317
Entity
Organization
Contact information
Practice address
15160 NW LAIDLAW RD STE 202, PORTLAND, OR 97229-7709
(503) 533-2330
Mailing address
15160 NW LAIDLAW RD STE 202, PORTLAND, OR 97229-7709
(503) 533-2330
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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