Organization
TJ HOULIHAN DMD LLC
Active
Other names
Dental Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J HOULIHAN DMD (OWNER)
(971) 275-2536
Entity
Organization
Contact information
Practice address
15495 SW SEQUOIA PKWY STE 120, TIGARD, OR 97224
(503) 684-8445
Mailing address
1990 ALPINE DR, WEST LINN, OR 97068-8626
(971) 275-2536
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8127
OR
Other
Enumeration date
03/28/2018
Last updated
06/27/2018
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