Organization
CLACKAMAS SQUARE DENTAL GROUP, PC
Active
Other names
CLACKAMAS SQUARE DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ASHTON DMD (OWNER)
(503) 513-6000
Entity
Organization
Contact information
Practice address
11398 SE 82ND AVE, SUITE 802, HAPPY VALLEY, OR 97086-7637
(503) 513-6000
(503) 513-6002
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8657
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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