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Organization
TIMBER DENTAL LLC
Active
Organization
TIMBER DENTAL LLC
Active
Other names
Timber Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW RYAN KATHAN DDS (DENTIST OWNER)
(971) 506-3407
Entity
Organization
Contact information
Practice address
3500 NE MLK, PORTLAND, OR 97212-2093
(971) 506-3407
Mailing address
5400 NE RODNEY AVE, PORTLAND, OR 97211-2642
(971) 506-3407
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9561
OR
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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