Organization
ORENCO ORTHODONTICS LLC
Active
Organization
ORENCO ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MARK BUXTON D.M.D., M.S. (ORTHODONTIST)
(503) 924-2248
Entity
Organization
Contact information
Practice address
5625 NE ELAM YOUNG PKWY, SUITE 300, HILLSBORO, OR 97124-6422
(503) 924-2248
(503) 924-2241
Mailing address
5625 NE ELAM YOUNG PKWY, SUITE 300, HILLSBORO, OR 97124-6422
(503) 924-2248
(503) 924-2241
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D7970
OR
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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