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Organization
NORTHWEST PERIODONTICS AND DENTAL IMPLANTS LLC
Active
Organization
NORTHWEST PERIODONTICS AND DENTAL IMPLANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LEE (FINANCIAL COORDINATOR)
(503) 222-2844
Entity
Organization
Contact information
Practice address
2525 NW LOVEJOY ST STE 100, PORTLAND, OR 97210-2861
(503) 222-2844
(503) 222-4001
Mailing address
2525 NW LOVEJOY ST STE 100, PORTLAND, OR 97210-2861
(503) 222-2844
(503) 222-4001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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