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Organization
MELISSA M. BEADNELL D.M.D. P.C.
Active
Organization
MELISSA M. BEADNELL D.M.D. P.C.
Active
Other names
Beadnell Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA MARIE HUTTON-BEADNELL D.M.D. (DENTIST)
(503) 244-4837
Entity
Organization
Contact information
Practice address
1616 SW SUNSET BLVD, SUITE A, PORTLAND, OR 97239-2641
(503) 244-4837
Mailing address
1616 SW SUNSET BLVD, SUITE A, PORTLAND, OR 97239-2641
(503) 244-4837
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D9189
OR
Other
Enumeration date
07/02/2010
Last updated
07/02/2010
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