Organization
TERWILLIGER DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM LIEN T HOANG DMD (PRESIDENT)
(503) 246-3034
Entity
Organization
Contact information
Practice address
7405 SW BARBUR BLVD, SUITE 200, PORTLAND, OR 97219-2287
(503) 246-3034
(503) 246-3019
Mailing address
7405 SW BARBUR BLVD, SUITE 200, PORTLAND, OR 97219-2287
(503) 246-3034
(503) 246-3019
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6734
OR
Other
Enumeration date
10/07/2005
Last updated
08/22/2020
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