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Organization

GENTLE FAMILY DENTISTRY, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA POPESCU (SECRETARY)
(503) 786-5949
Entity
Organization

Contact information

Practice address
17497 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-5906
(503) 786-5949
Mailing address
PO BOX 68479, OAK GROVE, OR 97268-0479
(503) 786-5949

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7501
OR

Other

Enumeration date
04/09/2008
Last updated
04/09/2008
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