Organization
CLOUD NINE DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN NEIL DELLA CROCE DMD (OWNER)
(267) 761-1529
Entity
Organization
Contact information
Practice address
8285 SW NIMBUS AVE STE 185, BEAVERTON, OR 97008-6465
(267) 761-1529
Mailing address
8285 SW NIMBUS AVE STE 185, BEAVERTON, OR 97008-6465
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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