Organization
NW HEADACHE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS BEDONT DMD (MEMBER/MANAGER)
(503) 665-1115
Entity
Organization
Contact information
Practice address
1042 NW NORMAN AVE STE 210, GRESHAM, OR 97030-5554
(503) 665-1115
Mailing address
1042 NW NORMAN AVE STE 210, GRESHAM, OR 97030-5554
(503) 665-1115
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D9440
OR
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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