Organization
SCOTT L. BARRY, DMD, PC
Active
Other names
ADVANCED ENDODONTICS
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT L BARRY (OWNER)
(503) 319-4094
Entity
Organization
Contact information
Practice address
9020 SW WASHINGTON SQUARE RD STE 570, PORTLAND, OR 97223-4477
(503) 718-0095
Mailing address
9020 SW WASHINGTON SQUARE RD STE 570, PORTLAND, OR 97223-4477
(503) 718-0095
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D7294
OR
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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