Organization
THOMAS GRASS, DMD LLC
Active
Other names
EAST CITY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JAMES GRASS DMD (OWNER)
(503) 702-3080
Entity
Organization
Contact information
Practice address
15925 SE STARK ST, PORTLAND, OR 97233-3525
(503) 253-1096
(503) 253-0291
Mailing address
15925 SE STARK ST, PORTLAND, OR 97233-3525
(503) 253-1096
(503) 253-0291
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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