Organization
AMETHYST DENTAL LLC
Active
Other names
Hillside Dental at Bethany
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK CHUANG DDS (OWNER)
(510) 501-4317
Entity
Organization
Contact information
Practice address
15160 NW LAIDLAW RD STE 202, PORTLAND, OR 97229-7709
(503) 533-2330
Mailing address
15160 NW LAIDLAW RD STE 202, PORTLAND, OR 97229-7709
(503) 533-2330
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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