Organization
UPTOWN FAMILY DENTAL LLC
Active
Other names
Uptown Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WILEY DMD (OWNER)
(530) 223-5040
Entity
Organization
Contact information
Practice address
2230 NW FLANDERS ST, SUITE 204, PORTLAND, OR 97210
(530) 223-5040
(503) 222-3101
Mailing address
2230 NW FLANDERS ST, SUITE 204, PORTLAND, OR 97210
(530) 223-5040
(503) 222-3101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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