| Bull Mountain Family Dentistry, Pc | |
|
15885 Sw 116th Ave King City OR 97224-2647 | |
| (503) 901-7345 | |
| Not Available |
| Full Name | Bull Mountain Family Dentistry, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15885 Sw 116th Ave, King City, Oregon |
| Authorized Official Name and Position | Nirvana Schuyler (DENTIST/PRESIDENT) |
| Authorized Official Contact | 5039017345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bull Mountain Family Dentistry, Pc 15885 Sw 116th Ave King City OR 97224-2647 Ph: (503) 901-7345 | Bull Mountain Family Dentistry, Pc 15885 Sw 116th Ave King City OR 97224-2647 Ph: (503) 901-7345 |
| NPI Number | 1285919555 |
|---|---|
| Provider Enumeration Date | 10/18/2011 |
| Last Update Date | 10/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285919555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D8974 (Oregon) | Primary |