Organization
HAZELNUT DENTAL LLC
Active
Other names
Hazelnut Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA KIM DDS (OWNER)
(503) 828-0928
Entity
Organization
Contact information
Practice address
10773 SW BEAVERTON-HILLSDALE HWY, STE B, BEAVERTON, OR 97005
(503) 828-0928
Mailing address
10773 SW BEAVERTON-HILLSDALE HWY, STE B, BEAVERTON, OR 97005
(503) 828-0928
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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