BEAVERTON DENTAL GROUP PC
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1093110975- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 12755 SW 2ND ST, BEAVERTON, OR, 970052767
- Phone
- (503) 644-1126
Specialties & Taxonomies
Dentist, General Practice
Primary License: OR #D7463