Organization
BIG TOOTH LITTLE TOOTH PEDIATRIC DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN PHAM (PRESIDENT)
(503) 305-6505
Entity
Organization
Contact information
Practice address
2020 8TH AVE STE 121, WEST LINN, OR 97068-4657
(503) 305-6505
Mailing address
2020 8TH AVE STE 121, WEST LINN, OR 97068-4657
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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