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Organization
SPRINGWATER DENTAL
Active
Organization
SPRINGWATER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL CHUNG D.D.S. (OWNER)
(503) 228-5059
Entity
Organization
Contact information
Practice address
8325 SE HARNEY ST., SUITE #101, PORTLAND, OR 97266
(503) 228-5059
(503) 517-2808
Mailing address
8325 SE HARNEY ST., SUITE #101, PORTLAND, OR 97266
(503) 228-5059
(503) 517-2808
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D8126
OR
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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