Organization
BITTNER DENTISTRY FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINITY E GEMMILL (OFFICE MANAGER)
(503) 625-5437
Entity
Organization
Contact information
Practice address
17680 SW HANDLEY ST, SUITE 201, SHERWOOD, OR 97140-9255
(503) 625-5437
(503) 625-5433
Mailing address
17680 SW HANDLEY ST, SUITE 201, SHERWOOD, OR 97140-9255
(503) 625-5437
(503) 625-5433
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D8900
OR
1223P0221X
Pediatric Dentistry
D9975
OR
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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