Organization
CARLTON DENTAL, LLC
Active
Parent organization
NORTHWEST DENTAL GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST DENTAL GROUP, LLC
Authorized official
BRYANT ZOLLINGER DDS (OWNER/DENTIST)
(503) 860-6083
Entity
Organization
Contact information
Practice address
133 E MAIN ST, CARLTON, OR 97111
(503) 852-7147
Mailing address
324 SE 9TH AVE, SUITE B, HILLSBORO, OR 97123-4247
(503) 648-6671
(503) 693-1143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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