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Organization
S. ALEXANDER MARRERO DDS, PC
Active
Organization
S. ALEXANDER MARRERO DDS, PC
Active
Other names
Summercrest Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. S. ALEXANDER MARRERO DDS (DR/OWNER)
(503) 649-7701
Entity
Organization
Contact information
Practice address
16400 SW HART RD, SUITE A, BEAVERTON, OR 97007-3457
(503) 649-7701
Mailing address
16400 SW HART RD, SUITE A, BEAVERTON, OR 97007-3457
(503) 649-7701
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D6089
OR
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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