Organization
JONATHAN FARIS DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN FARIS DMD (PRESIDENT)
(503) 840-2433
Entity
Organization
Contact information
Practice address
2031 HAWTHORNE ST STE B, FOREST GROVE, OR 97116-1700
(503) 359-4463
Mailing address
2031 HAWTHORNE ST STE B, FOREST GROVE, OR 97116-1700
(503) 840-2433
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
02/23/2024
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