Organization
ZOLA DENTAL RALEIGH PARK LLC, DR. ANTHONY PAVENTY DMD
Active
Other names
Cloud Nine Dental at Raleigh Park
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRISTINA WATERMAN DDS (ASSOCIATE DENTIST)
(503) 292-6773
Entity
Organization
Contact information
Practice address
8568 SW APPLE WAY, PORTLAND, OR 97225-1772
(503) 292-6773
(503) 292-6773
Mailing address
8568 SW APPLE WAY, PORTLAND, OR 97225-1772
(503) 292-6773
(503) 292-6773
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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