Organization
WILLAMETTE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE SKOURTES DMD (OWNER/CEO)
(855) 433-6825
Entity
Organization
Contact information
Practice address
1200 CHESTERLY DR, YAKIMA, WA 98902-7338
(509) 452-7825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
H6653
OR
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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