NPI 1043724917

Cedar Hills Modern Dentistry, PC

Organisation General Practice Dentistry Beaverton, OR

Practice location

Address: 2905 SW Cedar Hills Blvd STE 120, Beaverton, OR 97005-1342
Phone: (503) 396-4071
Fax: (503) 396-4071
Mailing address: PO Box 920050, Dallas, TX 75392-0050

Authorised official

Name: Kenny Tran
Title: Owner Dentist
Phone: (503) 396-4071

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1043724917
Entity type: Organization
NPI issued: 29 Nov 2017
Record last updated: 9 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.