Organization
WEST COAST ENDODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA H. VY D.M.D (OWNER)
(503) 762-2500
Entity
Organization
Contact information
Practice address
9907 SE DIVISION STREET, STE A, PORTLAND, OR 87266
(503) 762-2500
(503) 762-2504
Mailing address
9907 SE DIVISION STREET, STE A, PORTLAND, OR 97266
(503) 762-2500
(503) 762-2504
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D7631
OR
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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