Organization
CHERRY DENTAL OF BEAVERTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA KATI MARECEK (OFFICE MANAGER)
(503) 644-1110
Entity
Organization
Contact information
Practice address
8070 SW HALL BLVD, SUITE 100, BEAVERTON, OR 97008-6419
(503) 567-7461
(503) 641-6431
Mailing address
8070 SW HALL BLVD, SUITE 100, BEAVERTON, OR 97008-6419
(503) 567-7461
(503) 641-6431
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
OR
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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