Organization
PORTLAND EMERGENCY DENTAL CARE USA PC
Active
Other names
Emergency Dental Care USA
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL OBENG (OWNER)
(402) 393-2726
Entity
Organization
Contact information
Practice address
8401 NE HALSEY ST, STE 12, PORTLAND, OR 97220-5670
(503) 234-9911
Mailing address
4245 S 143RD CIR, STE. 7, OMAHA, NE 68137-4516
(402) 393-2726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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