PERIODONTAL ASSOCIATES, LLC
Organization (NPI-2)
Active
Dentist, Periodontics
Provider Information
- NPI Number
1669710331- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 18753 SW MARTINAZZI AVE, TUALATIN, OR, 970626808
- Phone
- (503) 620-2807
- Fax
- (503) 968-5419
Specialties & Taxonomies
Dentist, Periodontics
Primary License: OR #D6900