Organization
REBECCA KUPERSTEIN, DDS, MPH, MS, PC
Active
Other names
Parkside Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA KUPERSTEIN DDS, MPH, MS (PRESIDENT)
(503) 236-3800
Entity
Organization
Contact information
Practice address
539 SE 39TH AVE, PORTLAND, OR 97214
(503) 236-3800
(503) 236-8540
Mailing address
539 SE 39TH AVE, PORTLAND, OR 97214
(503) 236-3800
(503) 236-8540
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D8632
OR
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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