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Individual

ALEX THAT TON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
4410 SE 82ND AVE STE 2050, PORTLAND, OR 97266-2955
(503) 771-0081
Mailing address
4410 SE 82ND AVE STE 2050, PORTLAND, OR 97266-2955
(503) 771-0081

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12305
OR

Other

Enumeration date
03/19/2026
Last updated
03/19/2026
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