Jantzen Beach Modern Dentistry Dental Clinic

Get detailed information about Jantzen Beach Modern Dentistry dental clinic in Irvine California.
Jantzen Beach Modern Dentistry (JANTZEN BEACH MODERN 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 Jantzen Beach Modern Dentistry is 1558792051.

The current location address for Jantzen Beach Modern Dentistry is 12239 N Center Ave, , Portland, Oregon and the contact number is 503-241-1800 and fax number is 503-241-1807. The mailing address for Jantzen Beach Modern Dentistry is 17000 Red Hill Ave, , Irvine, California - 92614-5626 (mailing address contact number - 714-845-8890).


Provider Profile Details:
Clinic NameJantzen Beach Modern Dentistry
Provider OrganizationJANTZEN BEACH MODERN DENTISTRY, PC
Address12239 N Center Ave, ,
Portland
Oregon, 97217-7806
Phone Number503-241-1800
Fax Number503-241-1807
Authorized Official NameDr. Todd R Cockrell
Authorized Official Title/PositionOwner
Authorized Official Contact Number503-241-1800
NPI Number Details:
NPI Number1558792051
Provider Enumeration Date12/09/2013
Last Update Date06/03/2021
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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