Organization
GARY S HONGO DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY S HONGO DMD (OWNER)
(503) 255-8996
Entity
Organization
Contact information
Practice address
9732 SE WASHINGTON ST STE H, PORTLAND, OR 97216-8405
(503) 255-8996
(503) 255-0778
Mailing address
9732 SE WASHINGTON ST STE H, PORTLAND, OR 97216-8405
(503) 255-8996
(503) 255-0778
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5959
OR
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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