Organization
TILLAMOOK DENTURE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARETA HANIKYROVA-BORLAND DD.LD. (OWNER-DENTURIST)
(503) 354-2050
Entity
Organization
Contact information
Practice address
2505 MAIN AVE N, TILLAMOOK, OR 97141-9225
(503) 354-2050
Mailing address
2505 MAIN AVE N, TILLAMOOK, OR 97141-9225
(503) 354-2050
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DT-DO-10125318
OR
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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