Organization
PORTLAND DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAVEENDRA THUSHARA RANASINGHE DMD (PARTNER/GENERAL DENTIST)
(503) 227-1693
Entity
Organization
Contact information
Practice address
511 SW 10TH AVE STE 1206, PORTLAND, OR 97205-2713
(503) 227-1693
(503) 227-2362
Mailing address
511 SW 10TH AVE STE 1206, PORTLAND, OR 97205-2713
(503) 227-1693
(503) 227-2362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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