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Organization

EMERGENCY TOOTH DOCTOR DOWNTOWN,P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS PHAM DMD (DENTIST)
(503) 641-2200
Entity
Organization

Contact information

Practice address
1505 SW BROADWAY, PORTLAND, OR 97201-3414
(503) 222-0090
(503) 222-0101
Mailing address
1505 SW BROADWAY, PORTLAND, OR 97201-3414
(503) 222-0090
(503) 222-0101

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8300
OR

Other

Enumeration date
04/24/2012
Last updated
04/24/2012
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