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Organization
ALDER DENTAL GROUP
Active
Organization
ALDER DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MILLER (PRACTICE MANAGER)
(503) 431-3200
Entity
Organization
Contact information
Practice address
7110 SW HAZELFERN RD, SUITE 240, TIGARD, OR 97224-7776
(503) 431-3200
(503) 431-3210
Mailing address
7110 SW HAZELFERN RD, SUITE 240, TIGARD, OR 97224-7776
(503) 431-3200
(503) 431-3210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6468
OR
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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