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Newberg Kids Dentist Llc
Dental Clinic/Center in Newberg, Oregon
NPI 1154746758

Newberg Kids Dentist Llc is a Dental Clinic/Center based in Newberg, OR and is specialized in Dental. Newberg Kids Dentist Llc practices in Newberg, OR. The NPI Number for Newberg Kids Dentist Llc is 1154746758 and holds a License No. (Oregon).

The current practice location address for Newberg Kids Dentist Llc is 2502 E Portland Rd, Newberg, OR and can be reached out via phone at 503-538-4289 and via fax at 503-538-4352.

Location: 2502 E Portland Rd, Newberg, OR, 97132-1923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154746758
Provider Name
Newberg Kids Dentist Llc
Credential
Provider Entity Type
Organization
Address
2502 E Portland Rd, Newberg, OR, 97132-1923
Phone Number
503-538-4289
Fax Number
503-538-4352
Provider Enumeration Date
02/19/2014
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500675923 05 OR
institution
Provider Business Practice Location Address Details
Address
2502 E Portland Rd
City
Newberg
State
Oregon
Zip
97132-1923
Phone Number
503-538-4289
Fax Number
503-538-4352
person
Provider Business Mailing Address Details
Address
2502 E Portland Rd
City
Newberg
State
Oregon
Zip
97132-1923
Phone Number
503-538-4289
Fax Number
503-538-4352
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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