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Organization
MOUNTAINSIDE ORAL SURGERY LLC
Active
Organization
MOUNTAINSIDE ORAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN JAMES DDS (OWNER)
(541) 666-6091
Entity
Organization
Contact information
Practice address
4401 SW VERMONT ST, PORTLAND, OR 97219-1020
(503) 297-4102
Mailing address
1609 SE BARBERRY AVE, DALLAS, OR 97338-1974
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/31/2026
Last updated
08/31/2026
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