Organization
TIGARD TRIANGLE SMILES, PC
Active
Other names
Tigard Triangle Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
TODD R COCKRELL DMD (DMD/OWNER)
(503) 620-2319
Entity
Organization
Contact information
Practice address
7275 SW DARTMOUTH ST, SUITE 180, TIGARD, OR 97223-8623
(503) 620-2319
(503) 620-2008
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/19/2012
Last updated
12/31/2013
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