Organization
DENTAL DYNAMICS P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MO SALEH (OWNER)
(503) 697-0884
Entity
Organization
Contact information
Practice address
16455 BOONES FERRY RD, LAKE OSWEGO, OR 97035-4367
(503) 697-0884
(503) 697-6899
Mailing address
16455 BOONES FERRY RD, LAKE OSWEGO, OR 97035-4367
(503) 697-0884
(503) 697-6899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6757
OR
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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