Organization
DIMITRIOS J. VARELDZIS DDS, PC
Active
Other names
Bull Mountain Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIMITRIOS JOHN VARELDZIS DDS (PRESIDENT)
(503) 639-5025
Entity
Organization
Contact information
Practice address
15885 SW 116TH AVE, TIGARD, OR 97224-2647
(503) 639-5025
(503) 684-1391
Mailing address
15885 SW 116TH AVE, TIGARD, OR 97224-2647
(503) 639-5025
(503) 684-1391
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6471
OR
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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