Organization
BEAVERTON TENDERCARE
Active
Other names
R. W. Thompson DMD,PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LENNIE D WONG DMD (DOCTOR)
(503) 643-4719
Entity
Organization
Contact information
Practice address
4095 SW 144TH AVE STE A, BEAVERTON, OR 97005-2368
(503) 643-4719
(503) 626-9488
Mailing address
4095 SW 144TH AVE STE A, BEAVERTON, OR 97005-2368
(503) 643-4719
(503) 626-9488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6960
OR
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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