Organization
SUNNYBROOK FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIEM Q. NGUYEN D.M.D (OWNER)
(503) 427-0427
Entity
Organization
Contact information
Practice address
11411 SE SUNNYSIDE RD, SUITE 102, HAPPY VALLEY, OR 97086
(503) 427-0427
(503) 427-2782
Mailing address
11411 SE SUNNYSIDE RD, SUITE 102, HAPPY VALLEY, OR 97086
(503) 427-0427
(503) 427-2782
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7195
OR
Other
Enumeration date
05/14/2007
Last updated
09/29/2015
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