Organization
SANDY DENTAL PDX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHONG THANH BUI DMD (PRESIDENT)
(503) 473-7284
Entity
Organization
Contact information
Practice address
7836 NE SANDY BLVD, PORTLAND, OR 97213
(503) 288-3107
Mailing address
7836 NE SANDY BLVD, PORTLAND, OR 97213
(503) 288-3107
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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