Organization
FOX KIDS DENTISTRY & ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA FOX DMD (MANAGER)
(503) 223-3910
Entity
Organization
Contact information
Practice address
511 SW 10TH AVE, SUITE 810, PORTLAND, OR 97205-2732
(503) 223-3910
(503) 223-1123
Mailing address
511 SW 10TH AVE, SUITE 810, PORTLAND, OR 97205-2732
(503) 223-3910
(503) 223-1123
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D10268
OR
Other
Enumeration date
12/14/2015
Last updated
01/03/2016
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