Organization
ZOLA DENTAL PORTLAND LLC, DR. ANTHONY PAVENTY,DMD
Active
Other names
Cloud Nine Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL YESENOFSKI DDS (ASSOCIATE DENTIST)
(503) 646-1931
Entity
Organization
Contact information
Practice address
8285 SW NIMBUS AVE STE 185, BEAVERTON, OR 97008-6465
(503) 646-1931
(503) 520-1205
Mailing address
8285 SW NIMBUS AVE STE 185, BEAVERTON, OR 97008-6465
(503) 646-1931
(503) 520-1205
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
11/02/2021
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