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Organization
LAURELHURST DENTISTRY LLC
Active
Organization
LAURELHURST DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIENNE FISCHL D.M.D (OWNER/DENTIST)
(503) 233-3622
Entity
Organization
Contact information
Practice address
2520 E BURNSIDE ST, PORTLAND, OR 97214-1754
(503) 233-3622
(503) 233-5882
Mailing address
2520 E BURNSIDE ST, PORTLAND, OR 97214-1754
(503) 233-3622
(503) 233-5882
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8292
OR
Other
Enumeration date
01/22/2008
Last updated
08/22/2008
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