institution
Roots Dental Stark Llc
Dental Clinic/Center in Portland, Oregon
NPI 1063993749

Roots Dental Stark Llc is a Dental Clinic/Center based in Portland, OR and is specialized in Dental. Roots Dental Stark Llc practices in Portland, OR. The NPI Number for Roots Dental Stark Llc is 1063993749 and holds a License No. D9728 (Oregon).

The current practice location address for Roots Dental Stark Llc is 16338 Se Stark St, Portland, OR and can be reached out via phone at 971-294-1399.

Location: 16338 Se Stark St, Portland, OR, 97233-3958
institution
Provider Profile Details
NPI Number
1063993749
Provider Name
Roots Dental Stark Llc
Credential
Provider Entity Type
Organization
Address
16338 Se Stark St, Portland, OR, 97233-3958
Phone Number
971-294-1399
Fax Number
Provider Enumeration Date
08/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16338 Se Stark St
City
State
Zip
97233-3958
Phone Number
971-294-1399
Fax Number
person
Provider Business Mailing Address Details
Address
16338 Se Stark St
City
State
Zip
97233-3958
Phone Number
971-294-1399
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
D9728 (Oregon)
Definition
Definition to come...
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