Organization
BEAVERTON SANDY DENTAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MY DANG DDS (DIRECTOR)
(503) 646-5230
Entity
Organization
Contact information
Practice address
12520 SW 1ST ST, BEAVERTON, OR 97005-0550
(502) 646-5230
Mailing address
12520 SW 1ST ST, BEAVERTON, OR 97005-0550
(502) 646-5230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/21/2017
Last updated
12/22/2017
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