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Organization
THOMAS D. CARDWELL, DMD, PC
Active
Organization
THOMAS D. CARDWELL, DMD, PC
Active
Other names
Prime Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS CARDWELL DMD (PRESIDENT)
(503) 913-6193
Entity
Organization
Contact information
Practice address
11400 SE 37TH AVE, MILWAUKIE, OR 97222-5982
(503) 774-6355
Mailing address
1825 SW ELM ST APT 4, PORTLAND, OR 97201-7602
(503) 913-6193
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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