Organization
NOPO KIDS DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDI L TJOSTOLVSON (PATIENT FINANCIAL COORDINATOR)
(971) 978-0009
Entity
Organization
Contact information
Practice address
4548 N ALBINA AVE, PORTLAND, OR 97217-3010
(503) 626-9700
(503) 626-9772
Mailing address
4548 N ALBINA AVE, PORTLAND, OR 97217-3010
(971) 978-0009
(971) 978-0020
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
OR
Other
Enumeration date
05/05/2015
Last updated
01/17/2019
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