Organization
SANDY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHIET MINH TRAN D.D.S. (PRESIDENT)
(503) 288-3107
Entity
Organization
Contact information
Practice address
7836 NE SANDY BLVD, PORTLAND, OR 97213-6467
(503) 288-3107
(503) 287-4748
Mailing address
7836 NE SANDY BLVD, PORTLAND, OR 97213-6467
(503) 288-3107
(503) 287-4748
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6709
OR
Other
Enumeration date
02/14/2007
Last updated
06/26/2015
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