Organization
PERLEDENT DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE HAI TRAN VAN DDS (PRESIDENT)
(503) 533-5539
Entity
Organization
Contact information
Practice address
2110 NW AMBERBROOK DR, HILLSBORO, OR 97006-6954
(503) 533-5539
(503) 533-5519
Mailing address
2110 NW AMBERBROOK DR, HILLSBORO, OR 97006-6954
(503) 533-5539
(503) 533-5519
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D7871
OR
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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