institution
Roots Dental Broadway Llc
Dental Clinic/Center in Portland, Oregon
NPI 1568977817

Roots Dental Broadway Llc is a Dental Clinic/Center based in Portland, OR and is specialized in Dental. Roots Dental Broadway Llc practices in Portland, OR. The NPI Number for Roots Dental Broadway Llc is 1568977817 and holds a License No. D10629 (Oregon).

The current practice location address for Roots Dental Broadway Llc is 2525 Ne Broadway St Ste 200, Portland, OR and can be reached out via phone at 503-234-7870.

Location: 2525 Ne Broadway St Ste 200, Portland, OR, 97232-3527
institution
Provider Profile Details
NPI Number
1568977817
Provider Name
Roots Dental Broadway Llc
Credential
Provider Entity Type
Organization
Address
2525 Ne Broadway St Ste 200, Portland, OR, 97232-3527
Phone Number
503-234-7870
Fax Number
Provider Enumeration Date
12/08/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2525 Ne Broadway St Ste 200
City
State
Zip
97232-3527
Phone Number
503-234-7870
Fax Number
person
Provider Business Mailing Address Details
Address
2525 Ne Broadway St Ste 200
City
State
Zip
97232-3527
Phone Number
503-234-7870
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
D10629 (Oregon)
Definition
Definition to come...
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