Organization
MT. HOOD DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA D KIM (OFFICE MANAGER)
(503) 668-6226
Entity
Organization
Contact information
Practice address
39880 PLEASANT ST, SANDY, OR 97055
(503) 668-6226
(503) 668-9727
Mailing address
PO BOX 458, SANDY, OR 97055-0458
(503) 668-6226
(503) 668-9727
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D6973
OR
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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