Organization
ELITE ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN ELKHAL (ENDODONTIST)
(503) 339-0019
Entity
Organization
Contact information
Practice address
338 NE 181ST AVE, PORTLAND, OR 97230-6618
(503) 339-0019
Mailing address
338 NE 181ST AVE, PORTLAND, OR 97230-6618
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D8724
OR
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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