Organization
FIRST IMPRESSIONS DENTURE STUDIO
Active
Other names
Melanie Block Licensed Denturist, First Impressions Denture Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PETTIT (OPERATIONS DIRECTOR)
(503) 230-0207
Entity
Organization
Contact information
Practice address
200 NE 20TH AVE STE 100, PORTLAND, OR 97232-3094
(503) 230-0207
(503) 230-0208
Mailing address
200 NE 20TH AVE STE 100, PORTLAND, OR 97232-3094
(503) 230-0207
(503) 230-0208
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
02/21/2022
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