Organization
SLEEP DENTISTRY OF PORTLAND LLC
Active
Other names
Floyd H Kasch
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON C. KASCH (MANAGER)
(503) 666-9519
Entity
Organization
Contact information
Practice address
19265 SE STARK ST, SUITE A, PORTLAND, OR 97233-5758
(503) 666-9519
Mailing address
19265 SE STARK ST, SUITE A, PORTLAND, OR 97233-5758
(503) 666-9519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4528
OR
1223G0001X
General Practice Dentistry
D8126
OR
1223G0001X
General Practice Dentistry
D8648
OR
124Q00000X
Dental Hygienist
H1529
OR
Other
Enumeration date
03/21/2007
Last updated
09/12/2008
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