NPI 1366755613

All City Denture Clinic PC

Organisation Dental Laboratory Portland, OR

Practice location

Address: 12661 SE Powell Blvd Suite B, Portland, OR 97236-3400
Phone: (503) 760-8409
Fax: (503) 760-8577

Authorised official

Name: Walter James Peterson
Title: Employer
Phone: (503) 760-8409

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X Licence DTDO949472 (OR)

Other Dental Laboratory providers in Oregon →

Registry record

NPI: 1366755613
Entity type: Organization
NPI issued: 15 Jul 2010
Record last updated: 15 Jul 2010

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.