Organization
LAURELWOOD DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCY POZDINA (FINANCIAL COORDINATOR)
(503) 284-3575
Entity
Organization
Contact information
Practice address
2824 NE WASCO ST, SUITE 210, PORTLAND, OR 97232-1772
(503) 284-3575
(503) 284-4139
Mailing address
2824 NE WASCO ST, SUITE 210, PORTLAND, OR 97232-1772
(503) 284-3575
(503) 284-4139
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5687
OR
1223G0001X
General Practice Dentistry
7674
OR
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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