Grant Park Dentistry Dental Clinic

Get detailed information about Grant Park Dentistry dental clinic in Irvine California.
Grant Park Dentistry (GRANT PARK DENTISTRY, PC) is a Dental Clinic - General Practice in Portland, Oregon. Dental care clinics provide dental treatment and oral care to patients of all ages. The NPI Number for Grant Park Dentistry is 1205220209.

The current location address for Grant Park Dentistry is 3280 Ne Broadway, , Portland, Oregon and the contact number is 503-282-0521 and fax number is 503-282-1084. The mailing address for Grant Park Dentistry is 17000 Red Hill Ave, , Irvine, California - 92614-5626 (mailing address contact number - 714-845-8890).


Provider Profile Details:
Clinic NameGrant Park Dentistry
Provider OrganizationGRANT PARK DENTISTRY, PC
Address3280 Ne Broadway, ,
Portland
Oregon, 97232
Phone Number503-282-0521
Fax Number503-282-1084
Authorized Official NameDr. Todd R Cockrell
Authorized Official Title/PositionOwner
Authorized Official Contact Number503-282-0521
NPI Number Details:
NPI Number1205220209
Provider Enumeration Date03/27/2015
Last Update Date08/04/2021
Provider Business Mailing Address Details:
Address17000 Red Hill Ave,
CityIrvine
StateCalifornia
Zip92614-5626
Phone Number714-845-8890
Fax Number949-474-1495
Provider's Primary Taxonomy Details:
TypeDental Providers
SpecialityDentist - General Practice
Taxonomy1223G0001X

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