Organization
D. ANTHONY SERVICE D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ANTHONY SERVICE B.S.,D.M.D.,P.C. (OWNER)
(503) 230-7991
Entity
Organization
Contact information
Practice address
5050 NE HOYT ST, SUITE 528, PORTLAND, OR 97213-2991
(503) 230-7991
(503) 235-5487
Mailing address
5050 NE HOYT ST, SUITE 528, PORTLAND, OR 97213-2991
(503) 230-7991
(503) 235-5487
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3903
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223G0001X
GENERAL DENTISTRY
OR
Enumeration date
01/03/2007
Last updated
06/17/2008
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