Organization
VALUE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK FAIRBANKS BRINTON DMD (MEMBER)
(505) 273-4994
Entity
Organization
Contact information
Practice address
15012 SE STARK ST, PORTLAND, OR 97233-2854
(503) 255-9339
Mailing address
15012 SE STARK ST, PORTLAND, OR 97233-2854
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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