NPI 1134472723

Boone's Landing Dental Center, LLC

Organisation Dentist Wilsonville, OR

Practice location

Address: 30485 SW Boones Ferry Rd Suite 203, Wilsonville, OR 97070-7845
Phone: (503) 682-3743
Fax: (503) 682-1279
Mailing address: 29970 SW Town Center Loop W Suite D, Wilsonville, OR 97070-7429

Authorised official

Name: Margaret Boone
Title: Dentist
Phone: (503) 682-3743

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D6595 (OR)

Other Dentist providers in Oregon →

Registry record

NPI: 1134472723
Entity type: Organization
NPI issued: 19 Oct 2012
Record last updated: 19 Oct 2012

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.