Organization
POWELL DENTAL SPECIALTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY GABY BASSILI DMD (ENDODONTIST)
(503) 432-3997
Entity
Organization
Contact information
Practice address
12661 SE POWELL BLVD STE D, PORTLAND, OR 97236-3400
(503) 760-1880
(503) 775-6849
Mailing address
12661 SE POWELL BLVD STE D, PORTLAND, OR 97236-3400
(503) 760-1880
(503) 775-6849
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D7799
OR
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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