institution
Heritage Dental
Dental Clinic/Center in Portland, Oregon
NPI 1669759767

Heritage Dental is a Dental Clinic/Center based in Portland, OR and is specialized in Dental. Heritage Dental practices in Portland, OR. The NPI Number for Heritage Dental is 1669759767 and holds a License No. 5651 (Oregon).

The current practice location address for Heritage Dental is 4511 Se Hawthorne Blvd, Portland, OR and can be reached out via phone at 503-231-8228 and via fax at 503-231-5634.

Location: 4511 Se Hawthorne Blvd, Portland, OR, 97215-3195
institution
Provider Profile Details
NPI Number
1669759767
Provider Name
Heritage Dental
Credential
Provider Entity Type
Organization
Address
4511 Se Hawthorne Blvd, Portland, OR, 97215-3195
Phone Number
503-231-8228
Fax Number
503-231-5634
Provider Enumeration Date
11/03/2011
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
4511 Se Hawthorne Blvd
City
State
Zip
97215-3195
Phone Number
503-231-8228
Fax Number
503-231-5634
person
Provider Business Mailing Address Details
Address
4511 Se Hawthorne Blvd
City
State
Zip
97215-3195
Phone Number
503-231-8228
Fax Number
503-231-5634
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
5651 (Oregon)
Definition
Definition to come...
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