Organization
BEN WHITTED, DDS, LLC
Active
Other names
NW Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN WHITTED DDS (OWNER DENTIST)
(990) 327-8090
Entity
Organization
Contact information
Practice address
11808 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9308
(503) 698-1112
(971) 224-5027
Mailing address
11808 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9308
(503) 698-1112
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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