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Organization

TIGARD TENDERCARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUSTIN RAY MAROSTICA D.M.D. (PRESIDENT)
(503) 670-7088
Entity
Organization

Contact information

Practice address
11960 SW PACIFIC HWY, TIGARD, OR 97223-6439
(503) 670-7088
Mailing address
11960 SW PACIFIC HWY, TIGARD, OR 97223-6439
(503) 670-7088

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
D9419
OR

Other

Enumeration date
03/12/2014
Last updated
03/12/2014
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