Organization
MIDLAND FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATALIA V DUVALKO DDS (PRESIDENT)
(503) 254-8836
Entity
Organization
Contact information
Practice address
1244 SE 122ND AVE, PORTLAND, OR 97233-1202
(503) 254-8836
(503) 256-6288
Mailing address
1244 SE 122ND AVE, PORTLAND, OR 97233-1202
(503) 254-8836
(503) 256-6288
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D7948
OR
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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