Organization
PORTLAND DENTAL WORKS, LLC
Active
Parent organization
PORTLAND DENTAL WORKS, LLC
Other names
Beaverton Dental Works
Organization subpart
Yes
Provider details
NPI number
Legal business name
PORTLAND DENTAL WORKS, LLC
Authorized official
AMELIA SCHMECHEL (PRACTICE MANAGER)
(503) 644-3188
Entity
Organization
Contact information
Practice address
4225 SW 109TH AVE, BEAVERTON, OR 97005-3028
(503) 644-3188
(503) 672-9866
Mailing address
4225 SW 109TH AVE, BEAVERTON, OR 97005-3028
(503) 644-3188
(503) 672-9866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/17/2011
Last updated
07/17/2012
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