Organization
NORTHWEST ENDODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL DAVID BRENT D.D.S. (OWNER)
(503) 642-4552
Entity
Organization
Contact information
Practice address
18395 SW ALEXANDER ST, ALOHA, OR 97006-3961
(503) 642-4552
(503) 591-0202
Mailing address
18395 SW ALEXANDER ST, ALOHA, OR 97006-3961
(503) 642-4552
(503) 591-0202
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D7495
OR
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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