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Organization
CLACKAMAS TOWN DENTAL, LLC
Active
Organization
CLACKAMAS TOWN DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH NICHOL DDS (DIRECTOR OF FINANCES)
(503) 880-8581
Entity
Organization
Contact information
Practice address
9225 SE SUNNYSIDE ROAD, CLACKAMAS, OR 97086
(503) 905-3380
Mailing address
9225 SE SUNNYSIDE ROAD, CLACKAMAS, OR 97015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
OR
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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