Organization
TUALATIN MODERN DENTISTRY,PC
Active
Other names
TUALATIN MODERN DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTA MATTSON DDS (OWNER)
(503) 612-8736
Entity
Organization
Contact information
Practice address
7017 SW NYBERG STREET, TUALATIN, OR 97062
(503) 612-8736
(503) 612-8737
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/21/2013
Last updated
03/09/2022
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