institution
Hollywood Children's Dentistry
Pediatric Dentist in Portland, Oregon
NPI 1538438296

Hollywood Children's Dentistry is a Pediatric Dentist based in Portland, OR and is specialized in Pediatric Dentistry. Hollywood Children's Dentistry practices in Portland, OR. The NPI Number for Hollywood Children's Dentistry is 1538438296 and holds a License No. D7649 (Oregon).

The current practice location address for Hollywood Children's Dentistry is 3839 Ne Tillamook St, Portland, OR and can be reached out via phone at 503-288-5891 and via fax at 503-288-1525.

Location: 3839 Ne Tillamook St, Portland, OR, 97212-5338
institution
Provider Profile Details
NPI Number
1538438296
Provider Name
Hollywood Children's Dentistry
Credential
Provider Entity Type
Organization
Address
3839 Ne Tillamook St, Portland, OR, 97212-5338
Phone Number
503-288-5891
Fax Number
503-288-1525
Provider Enumeration Date
12/23/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3839 Ne Tillamook St
City
State
Zip
97212-5338
Phone Number
503-288-5891
Fax Number
503-288-1525
person
Provider Business Mailing Address Details
Address
3839 Ne Tillamook St
City
State
Zip
97212-5338
Phone Number
503-288-5891
Fax Number
503-288-1525
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
D7649 (Oregon)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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