Organization
DENTALCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYRUS JAVADI DDS (SOLE MEMBER)
(503) 801-5363
Entity
Organization
Contact information
Practice address
805 IVY AVE STE B, TILLAMOOK, OR 97141-3758
(503) 842-7788
Mailing address
1010 MAIN AVE, TILLAMOOK, OR 97141-3818
(503) 842-7788
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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