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Organization
SCAPPOOSE DENTAL SPECIALTY CLINIC, LLC
Active
Organization
SCAPPOOSE DENTAL SPECIALTY CLINIC, LLC
Active
Other names
Lotus Orthodontics and Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TSUNG-JU HSIEH D.D.S., M.S.D. (PRESIDENT)
(503) 987-1378
Entity
Organization
Contact information
Practice address
51701 COLUMBIA RIVER HWY, SCAPPOOSE, OR 97056-4441
(503) 987-1378
(503) 467-5592
Mailing address
51701 COLUMBIA RIVER HWY, SCAPPOOSE, OR 97056-4441
(503) 987-1378
(503) 467-5592
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
D8383
OR
261QD0000X
Dental Clinic/Center
Primary
D8764
OR
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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