NPI 1871897496

Odonto Prosthetics

Organisation Dental Laboratory Portland, OR

Practice location

Address: 15 SE 22nd Avenue, Portland, OR 97214-1679
Phone: (503) 235-0774

Authorised official

Name: Peter Phan
Title: Owner
Phone: (503) 235-0774

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X Licence 686917 (OR)

Other Dental Laboratory providers in Oregon →

Registry record

NPI: 1871897496
Entity type: Organization
NPI issued: 23 Dec 2010
Record last updated: 23 Dec 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.