Portland Modern Dentistry Dental Clinic

Get detailed information about Portland Modern Dentistry dental clinic in Irvine California.
Portland Modern Dentistry (PORTLAND MODERN DENTISTRY) is a Dental Clinic in Portland, Oregon. Dental care clinics provide dental treatment and oral care to patients of all ages. The NPI Number for Portland Modern Dentistry is 1598223919.

The current location address for Portland Modern Dentistry is 5175 Ne Martin Luther King Blvd Ste 110, , Portland, Oregon and the contact number is 503-406-1108 and fax number is --. The mailing address for Portland Modern Dentistry is 17000 Red Hill Ave, , Irvine, California - 92614-5626 (mailing address contact number - 714-845-8500).


Provider Profile Details:
Clinic NamePortland Modern Dentistry
Provider OrganizationPORTLAND MODERN DENTISTRY
Address5175 Ne Martin Luther King Blvd Ste 110, ,
Portland
Oregon, 97211-3233
Phone Number503-406-1108
Fax Number--
Authorized Official NameDulce Gomez
Authorized Official Title/PositionCredentialing Supervisor
Authorized Official Contact Number714-845-8500
NPI Number Details:
NPI Number1598223919
Provider Enumeration Date03/05/2019
Last Update Date17/03/2021
Provider Business Mailing Address Details:
Address17000 Red Hill Ave,
CityIrvine
StateCalifornia
Zip92614-5626
Phone Number714-845-8500
Fax Number--
Provider's Primary Taxonomy Details:
TypeDental Providers
SpecialityDentist
Taxonomy122300000X

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