Organization
CEDAR HILLS DENTISTRY FOR KIDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAI PHAM (PRESIDENT)
(503) 642-1535
Entity
Organization
Contact information
Practice address
1600 SW CEDAR HILLS BLVD, 109, PORTLAND, OR 97225-5439
(503) 642-1535
Mailing address
18325 SW ALEXANDER ST, SUITE 2, ALOHA, OR 97006-3958
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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