Organization
ANDREW SYPE DMD, PC
Active
Other names
Plaza 125 Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LEANNE SYPE (ADMINISTRATION)
(503) 544-7091
Entity
Organization
Contact information
Practice address
12758 SE STARK ST STE D, PORTLAND, OR 97233-1539
(503) 760-3214
(503) 719-5343
Mailing address
12758 SE STARK ST STE D, PORTLAND, OR 97233-1539
(503) 760-3214
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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