Organization
DIVISION FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA NGUYEN DMD (DENTIST)
(503) 559-6533
Entity
Organization
Contact information
Practice address
2484 NE DIVISION ST, GRESHAM, OR 97030-6020
(503) 559-6533
Mailing address
2484 NE DIVISION ST, GRESHAM, OR 97030-6020
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D10228
OR
Other
Enumeration date
08/21/2016
Last updated
08/21/2016
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