Organization
EAST WIND DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YURIYA MANABE D.M.D. (PRESIDENT)
(503) 614-0198
Entity
Organization
Contact information
Practice address
7546 NE SHALEEN ST, HILLSBORO, OR 97124-9430
(503) 614-0198
Mailing address
PO BOX 3083, PORTLAND, OR 97208-3083
(503) 614-0198
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6429
OR
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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