Organization
TIGARD MODERN DENTISTRY AND ORTHODONTICS, PC
Active
Other names
Tigard Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIAN LAM DMD (OWNER)
(503) 455-8483
Entity
Organization
Contact information
Practice address
12266 SW SCHOLLS FERRY RD, TIGARD, OR 97223-3354
(503) 455-8483
(503) 521-0273
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
03/09/2022
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