Organization
THOMAS D. CARDWELL, DMD, PC
Active
Other names
Prime Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS CARDWELL DMD (PRESIDENT)
(503) 913-6193
Entity
Organization
Contact information
Practice address
11400 SE 37TH AVE, MILWAUKIE, OR 97222-5982
(503) 774-6355
Mailing address
1825 SW ELM ST APT 4, PORTLAND, OR 97201-7602
(503) 913-6193
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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