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Organization

EAST CITY DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAKOTA H. (OFFICE MANAGER)
(503) 253-0291
Entity
Organization

Contact information

Practice address
15925 SE STARK ST, PORTLAND, OR 97233-3525
(503) 253-0291
(503) 253-1096
Mailing address
15925 SE STARK ST, PORTLAND, OR 97233-3525
(503) 253-0291
(503) 253-1096

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
02/11/2025
Last updated
02/11/2025
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