Organization
RICHARD A ZELLER DDS LLC
Active
Other names
Five Pines Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER FEDLER (OFFICE MANAGER)
(503) 482-2160
Entity
Organization
Contact information
Practice address
555 SW OAK ST STE A, PORTLAND, OR 97204-1752
(503) 482-2160
Mailing address
555 SW OAK ST STE A, PORTLAND, OR 97204-1752
(503) 482-2160
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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