# CEDAR HILLS DENTISTRY FOR KIDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437417235
- **Authorized official:** HAI PHAM (PRESIDENT)
- **Authorized official phone:** (503) 642-1535

## Contact information

- **Practice address:** 1600 SW CEDAR HILLS BLVD, 109, PORTLAND, OR 97225-5439
- **Practice address phone:** (503) 642-1535
- **Mailing address:** 18325 SW ALEXANDER ST, SUITE 2, ALOHA, OR 97006-3958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2012
- **Last updated:** 04/30/2012