institution
Roots Dental Gp Llc
Dental Clinic/Center in Portland, Oregon
NPI 1134609027

Roots Dental Gp Llc is a Dental Clinic/Center based in Portland, OR and is specialized in Dental. Roots Dental Gp Llc practices in Portland, OR. The NPI Number for Roots Dental Gp Llc is 1134609027 and holds a License No. D9728 (Oregon).

The current practice location address for Roots Dental Gp Llc is 2111 Ne 40Th Ave, Portland, OR and can be reached out via phone at 503-284-2139.

Location: 2111 Ne 40Th Ave, Portland, OR, 97212-5406
institution
Provider Profile Details
NPI Number
1134609027
Provider Name
Roots Dental Gp Llc
Credential
Provider Entity Type
Organization
Address
2111 Ne 40Th Ave, Portland, OR, 97212-5406
Phone Number
503-284-2139
Fax Number
Provider Enumeration Date
08/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2111 Ne 40Th Ave
City
State
Zip
97212-5406
Phone Number
503-284-2139
Fax Number
person
Provider Business Mailing Address Details
Address
2111 Ne 40Th Ave
City
State
Zip
97212-5406
Phone Number
503-284-2139
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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