Organization
ALANIZ FAMILY & COSMETIC DENTISTRY, PC
Active
Other names
Alaniz Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABEL AHUMADA ALANIZ DMD (PRESIDENT)
(503) 262-1996
Entity
Organization
Contact information
Practice address
11701 SE STARK ST, PORTLAND, OR 97216-3759
(503) 262-1996
Mailing address
11701 SE STARK ST, PORTLAND, OR 97216-3759
(503) 262-1996
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D8603
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500682004
—
OR
Enumeration date
05/30/2017
Last updated
07/21/2022
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