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Organization
BIG TOOTH LITTLE TOOTH PEDIATRIC DENTISTRY PC
Active
Organization
BIG TOOTH LITTLE TOOTH PEDIATRIC DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN PHAM (PRESIDENT)
(503) 305-6505
Entity
Organization
Contact information
Practice address
2020 8TH AVE STE 121, WEST LINN, OR 97068-4657
(503) 305-6505
Mailing address
2020 8TH AVE STE 121, WEST LINN, OR 97068-4657
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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