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Organization
BOONE'S LANDING DENTAL CENTER, LLC
Active
Organization
BOONE'S LANDING DENTAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET BOONE DMD (DENTIST)
(503) 682-3743
Entity
Organization
Contact information
Practice address
30485 SW BOONES FERRY RD, SUITE 203, WILSONVILLE, OR 97070-7845
(503) 682-3743
(503) 682-1279
Mailing address
29970 SW TOWN CENTER LOOP W, SUITE D, WILSONVILLE, OR 97070-7429
(503) 682-3743
(503) 682-1279
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6595
OR
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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