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Organization
ALEXANDRA DAHM DDS LLC
Active
Organization
ALEXANDRA DAHM DDS LLC
Active
Other names
Haven Dental PDX
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDRA M DAHM DDS (OWNER/DENTIST)
(937) 477-4442
Entity
Organization
Contact information
Practice address
1744 NE 42ND AVE, PORTLAND, OR 97213-1537
(503) 287-0072
Mailing address
1744 NE 42ND AVE, PORTLAND, OR 97213-1537
(503) 287-0072
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124408778
NPI
—
01
—
D11225
DENTAL BOARD
OR
Enumeration date
07/22/2022
Last updated
10/25/2022
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