Organization
DENTAL PROFESSIONALS OF OREGON, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF OREGON, P.C.
Other names
Sunridge Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF OREGON, P.C.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-8426
Entity
Organization
Contact information
Practice address
14679 SE SUNNYSIDE RD STE D, HAPPY VALLEY, OR 97015
(217) 540-5100
Mailing address
14679 SE SUNNYSIDE RD STE D, HAPPY VALLEY, OR 97015-6507
(503) 427-9528
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
08/06/2018
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