Organization
CANTERBURY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARVEL LERALPH STANDER DMD (OWNER)
(503) 620-9333
Entity
Organization
Contact information
Practice address
14465 SW PACIFIC HWY, TIGARD, OR 97224-3662
(503) 620-9333
(503) 620-5355
Mailing address
14465 SW PACIFIC HWY, TIGARD, OR 97224-3662
(503) 620-9333
(503) 620-5355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6800
OR
Other
Enumeration date
08/23/2006
Last updated
08/22/2020
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