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Organization

AVENUE DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAHADEEP S VIRK DMD (OWNER)
(503) 786-3000
Entity
Organization

Contact information

Practice address
10001 SE SUNNYSIDE RD, SUITE 250, CLACKAMAS, OR 97015-5746
(503) 786-3000
Mailing address
10001 SE SUNNYSIDE RD, SUITE 250, CLACKAMAS, OR 97015-5746
(503) 786-3000

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8233
OR

Other

Enumeration date
02/06/2008
Last updated
02/06/2008
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