ICP TELEDENTISTRY
Organization (NPI-2)
Active
Dentist, Dental Public Health
Provider Information
- NPI Number
1225771108- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3439 SE HAWTHORNE BLVD # 906, PORTLAND, OR, 972145048
- Phone
- (425) 494-0883
Specialties & Taxonomies
Dental Hygienist
Dental Therapist
Dental Assistant
Clinic/Center, Dental
Clinic/Center, Oral and Maxillofacial Surgery
Dentist, Dental Public Health
Primary
All Addresses
MAILING
3439 SE HAWTHORNE BLVD # 906
PORTLAND, OR, 972145048