Organization
ST JOHNS DENTAL ARTS PC
Active
Parent organization
ST JOHNS DENTAL ARTS PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST JOHNS DENTAL ARTS PC
Authorized official
DR. JOHN THOMAS ROBERTS DMD (DENTIST)
(503) 286-3669
Entity
Organization
Contact information
Practice address
8407 N LOMBARD, PORTLAND, OR 97203
(503) 286-3669
(503) 286-3660
Mailing address
8407 N LOMBARD, PORTLAND, OR 97203
(503) 286-3669
(503) 286-3660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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