Organization
SUNNYSIDE FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA WILLIAMS (OFFICE MANAGER)
(503) 752-7463
Entity
Organization
Contact information
Practice address
11808 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9308
(503) 698-1112
(971) 224-5027
Mailing address
11808 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9308
(503) 698-1112
(971) 224-5027
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
OR
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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