2ND & MADISON DENTAL
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1497197230- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 100 SW MAIN ST SUITE 165, PORTLAND, OR, 972043218
- Phone
- (949) 498-5761
Specialties & Taxonomies
Dentist
Primary