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Bruno Da Costa Ddd,ms,pc
General Practice Dentistry in Tigard, Oregon
NPI 1780851105

Bruno Da Costa Ddd,ms,pc is a General Practice Dentistry based in Tigard, OR and is specialized in General Practice. Bruno Da Costa Ddd,ms,pc practices in Tigard, OR. The NPI Number for Bruno Da Costa Ddd,ms,pc is 1780851105 and holds a License No. D8550 (Oregon).

The current practice location address for Bruno Da Costa Ddd,ms,pc is 11995 Sw Pacific Hwy, Tigard, OR and can be reached out via phone at 503-639-6900 and via fax at 503-684-8167.

Location: 11995 Sw Pacific Hwy, Tigard, OR, 97223-6474
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780851105
Provider Name
Bruno Da Costa Ddd,ms,pc
Credential
Provider Entity Type
Organization
Address
11995 Sw Pacific Hwy, Tigard, OR, 97223-6474
Phone Number
503-639-6900
Fax Number
503-684-8167
Provider Enumeration Date
05/14/2008
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1275532384 01 OR NPI TYPE 1
institution
Provider Business Practice Location Address Details
Address
11995 Sw Pacific Hwy
City
Tigard
State
Oregon
Zip
97223-6474
Phone Number
503-639-6900
Fax Number
503-684-8167
person
Provider Business Mailing Address Details
Address
11995 Sw Pacific Hwy
City
Tigard
State
Oregon
Zip
97223-6474
Phone Number
503-639-6900
Fax Number
503-684-8167
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D8550 (Oregon)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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