Organization
MT. SCOTT ENDODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW RALPH BAUMGARTH D.D.S., M.S. (PRESIDENT/ENDODONTIST)
(503) 698-4484
Entity
Organization
Contact information
Practice address
10365 SE SUNNYSIDE RD STE 260, CLACKAMAS, OR 97015-5707
(503) 698-4484
(503) 698-5033
Mailing address
10365 SE SUNNYSIDE RD STE 260, CLACKAMAS, OR 97015-5707
(503) 698-4484
(503) 698-5033
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D7910
OR
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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