Organization
KAI-UWE H. HAHN DMD DBA EDELWEISS DENTAL
Active
Parent organization
1590927-9
Organization subpart
Yes
Provider details
NPI number
Legal business name
1590927-9
Authorized official
KAI-UWE H. HAHN DMD (OWNER DENTIST)
(503) 283-1198
Entity
Organization
Contact information
Practice address
3503 N LOMBARD STREET, PORTLAND, OR 97217
(503) 283-1198
(503) 283-3262
Mailing address
3503 N LOMBARD ST, PORTLAND, OR 97217-5901
(503) 283-1198
(503) 283-3262
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D9530
OR
Other
Enumeration date
09/20/2017
Last updated
07/21/2022
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