Organization
SPECTRA DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJI MATHEW SAMUEL DDS (OWNER)
(503) 688-4639
Entity
Organization
Contact information
Practice address
19553 SW BOULDER LN, BEAVERTON, OR 97007-8903
(503) 688-4639
Mailing address
19553 SW BOULDER LN, BEAVERTON, OR 97007-8903
(503) 688-4639
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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