Organization
STANLEY W BOHNSTEDT DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY WALTER BOHNSTEDT D.M.D. (PRESIDENT)
(503) 255-9339
Entity
Organization
Contact information
Practice address
15012 SE STARK ST, PORTLAND, OR 97233-2854
(503) 255-9339
Mailing address
PO BOX 33226, PORTLAND, OR 97292-3226
(503) 255-9339
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6260
OR
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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