Organization
NORTHWEST DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYANT ZOLLINGER DDS (DENTIST)
(503) 648-6671
Entity
Organization
Contact information
Practice address
324 SE 9TH AVE, SUITE B, HILLSBORO, OR 97123-4247
(503) 648-6671
(503) 693-1143
Mailing address
324 SE 9TH AVE, SUITE B, HILLSBORO, OR 97123-4247
(503) 648-6671
(503) 693-1143
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/23/2015
Last updated
05/23/2015
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