# WILLAMETTE DENTAL GROUP, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WILLAMETTE DENTAL GROUP, P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376468710
- **Legal business name:** WILLAMETTE DENTAL GROUP, P.C.
- **Authorized official:** WEE YUEN CHIN (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (503) 952-2134

## Contact information

- **Practice address:** 6505 216TH ST SW STE 200, MOUNTLAKE TERRACE, WA 98043-6026
- **Practice address phone:** (855) 433-6825
- **Mailing address:** 6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
- **Mailing address phone:** (855) 433-6825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2026
- **Last updated:** 08/13/2026