institution
Viseh Sundberg Dds Pc
Dental Clinic/Center in Portland, Oregon
NPI 1124449129

Viseh Sundberg Dds Pc is a Dental Clinic/Center based in Portland, OR and is specialized in Dental. Viseh Sundberg Dds Pc practices in Portland, OR. The NPI Number for Viseh Sundberg Dds Pc is 1124449129 and holds a License No. 7735 (Oregon).

The current practice location address for Viseh Sundberg Dds Pc is 222 Nw 10Th Ave, Portland, OR and can be reached out via phone at 503-546-9079 and via fax at 503-546-5474.

Location: 222 Nw 10Th Ave, Portland, OR, 97209-3109
institution
Provider Profile Details
NPI Number
1124449129
Provider Name
Viseh Sundberg Dds Pc
Credential
Provider Entity Type
Organization
Address
222 Nw 10Th Ave, Portland, OR, 97209-3109
Phone Number
503-546-9079
Fax Number
503-546-5474
Provider Enumeration Date
12/18/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7735 01 OR STATE BOARD OF DENTISTRY
institution
Provider Business Practice Location Address Details
Address
222 Nw 10Th Ave
City
State
Zip
97209-3109
Phone Number
503-546-9079
Fax Number
503-546-5474
person
Provider Business Mailing Address Details
Address
222 Nw 10Th Ave
City
State
Zip
97209-3109
Phone Number
503-546-9079
Fax Number
503-546-5474
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
7735 (Oregon)
Definition
Definition to come...
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