BRIDGEPORT FAMILY DENTAL, LLC
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1740553106- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 7420 SW BRIDGEPORT RD STE 104, TIGARD, OR, 972247790
- Phone
- (503) 430-7909
- Fax
- (503) 268-1501
Specialties & Taxonomies
Dentist
Primary License: OR #D7482