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Organization

BURLINGAME DENTAL ARTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE T LORENZEN (OFFICE MANAGER)
(503) 246-8447
Entity
Organization

Contact information

Practice address
7471 SW BARBUR BLVD, PORTLAND, OR 97219-2809
(503) 246-8447
(503) 245-6631
Mailing address
7471 SW BARBUR BLVD, PORTLAND, OR 97219-2809
(503) 246-8447
(503) 245-6631

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6336
OR
1223G0001X
General Practice Dentistry
Primary
6344
OR

Other

Enumeration date
09/09/2006
Last updated
07/22/2010
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