Organization
DISTINCTIVE DENTISTRY, LLC
Active
Other names
Distinctive Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
NOELLE M KLEMANN DMD (OWNER)
(503) 701-3589
Entity
Organization
Contact information
Practice address
13110 SE SUNNYSIDE RD, HAPPY VALLEY, OR 97015-8468
(503) 698-4884
(503) 698-6601
Mailing address
13110 SE SUNNYSIDE RD STE A, CLACKAMAS, OR 97015-8468
(036) 984-8845
(503) 698-6601
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
03/19/2024
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