Organization
DENTISTRY FOR CHILDREN AT AMBERGLEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN MUCKERHEIDE D.D.S. (OWNER)
(503) 641-8800
Entity
Organization
Contact information
Practice address
2380 NW AMBERBROOK DR, HILLSBORO, OR 97006-6952
(503) 641-8800
(503) 352-0721
Mailing address
2380 NW AMBERBROOK DR, HILLSBORO, OR 97006-6952
(503) 641-8800
(503) 352-0721
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D8526
OR
Other
Enumeration date
01/23/2006
Last updated
08/22/2020
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