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Organization

PACIFIC DENTAL CARE P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MIMI T. NGUYEN (OFFICE MANAGER)
50340488927
Entity
Organization

Contact information

Practice address
1102 NE 82ND AVE, PORTLAND, OR 97220-5701
(503) 408-8927
(503) 408-8926
Mailing address
1102 NE 82ND AVE, PORTLAND, OR 97220-5701
(503) 408-8927
(503) 408-8926

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7262
OR

Other

Enumeration date
05/21/2007
Last updated
08/22/2020
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