GERIATRIC DENTAL GROUP
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1760441216- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 6319 SE POWELL BLVD, PORTLAND, OR, 97042
- Phone
- (503) 772-3677
Specialties & Taxonomies
Dentist
Primary License: OR #D8295