Organization
EASTPORT PLAZA DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRUC THAT TON DMD (PRESIDENT)
(503) 771-0081
Entity
Organization
Contact information
Practice address
4410 SE 82ND AVE, SUITE 2050, PORTLAND, OR 97266-2941
(503) 771-0081
(503) 772-2272
Mailing address
4410 SE 82ND AVE, SUITE 2050, PORTLAND, OR 97266-2941
(503) 771-0081
(503) 772-2272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7171
OR
Other
Enumeration date
10/19/2008
Last updated
10/19/2008
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