Organization
BARNES DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGIE T SOBALVARRO (OFFICE MANAGER)
(503) 297-8866
Entity
Organization
Contact information
Practice address
7325 SW BARNES RD, BARNES DENTAL LLC, PORTLAND, OR 97225
(503) 297-8866
(503) 384-9366
Mailing address
7325 SW BARNES RD, BARNES DENTAL LLC, PORTLAND, OR 97225
(503) 297-8866
(503) 384-9366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7513
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158908
—
OR
Enumeration date
05/12/2008
Last updated
05/12/2008
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