Organization
EMERGENCY TOOTH DOCTOR EAST, PC
Active
Other names
Emergency Tooth Doctor East
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS T PHAM D.M.D (PRESIDENT)
(503) 252-9657
Entity
Organization
Contact information
Practice address
12596 SE STARK ST, PLAZA 125 BLDG N, PORTLAND, OR 97233-1056
(503) 252-9657
(503) 256-6909
Mailing address
12596 SE STARK ST, PLAZA 125 BLDG N, PORTLAND, OR 97233-1056
(503) 252-9657
(503) 256-6909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8300
OR
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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