Organization
RIVERPLACE PERIODONTICS PC
Active
Other names
Riverplace Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUY ANH TRAN D.M.D (PERIODONTIST)
(503) 654-5405
Entity
Organization
Contact information
Practice address
2636 SE HARRISON STREET, SUITE A, MILWAUKIE, OR 97222
(503) 654-5405
Mailing address
2636 SE HARRISON STREET, SUITE A, MILWAUKIE, OR 97222
(503) 654-5405
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D7360
OR
Other
Enumeration date
01/17/2012
Last updated
05/04/2015
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