Organization
VILLAGE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAN Z GARDNER DDS (DENTIST)
(503) 582-8255
Entity
Organization
Contact information
Practice address
29174 SW TOWN CENTER LOOP W, 201, WILSONVILLE, OR 97070-9306
(503) 582-8255
(503) 582-9355
Mailing address
29174 SW TOWN CENTER LOOP W, 201, WILSONVILLE, OR 97070-9306
(503) 582-8255
(503) 582-9355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7429
OR
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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