Organization
THE DENTAL FOUNDATION OF OREGON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY A DALY (TOOTH TAXI PROGRAM MANAGER)
(503) 329-8877
Entity
Organization
Contact information
Practice address
10505 SE 17TH AVE, MILWAUKIE, OR 97222-7475
(503) 329-8877
(503) 218-2004
Mailing address
PO BOX 2448, WILSONVILLE, OR 97070-2448
(503) 594-0880
(503) 218-2448
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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