Organization
FOX KIDS DENTISTRY & ORTHODONTICS II
Active
Other names
Sprout Pediatric Dentistry & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA FOX DMD (MANAGER)
(503) 223-5039
Entity
Organization
Contact information
Practice address
1401 SE MORRISON ST STE 120, PORTLAND, OR 97214-2777
(503) 477-9911
Mailing address
1401 SE MORRISON ST STE 120, PORTLAND, OR 97214-2777
(503) 477-9911
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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