| Bruno Da Costa Ddd,ms,pc | |
|
11995 Sw Pacific Hwy Tigard OR 97223-6474 | |
| (503) 639-6900 | |
| (503) 684-8167 |
| Full Name | Bruno Da Costa Ddd,ms,pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11995 Sw Pacific Hwy, Tigard, Oregon |
| Authorized Official Name and Position | Bruno Cristalli Da Costa (OWNER/PRESIDENT) |
| Authorized Official Contact | 5036396900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruno Da Costa Ddd,ms,pc 11995 Sw Pacific Hwy Tigard OR 97223-6474 Ph: (503) 639-6900 | Bruno Da Costa Ddd,ms,pc 11995 Sw Pacific Hwy Tigard OR 97223-6474 Ph: (503) 639-6900 |
| NPI Number | 1780851105 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780851105 | NPI | - | NPPES |
| 1275532384 | Other | OR | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D8550 (Oregon) | Primary |
Tj Houlihan Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15495 Sw Sequoia Pkwy Ste 120, Tigard, OR 97224 Phone: 503-684-8445 | |
Jasmine Tran Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8863 Sw Center St, Tigard, OR 97223 Phone: 503-639-3167 | |
David Streiff Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Sw Hazelfern Rd, Suite 240, Tigard, OR 97224 Phone: 503-431-3200 | |
Peter Douglas Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12011 Sw 70th Ave, Tigard, OR 97223 Phone: 503-616-2024 Fax: 503-616-2328 | |
Bridgeport Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18035 Sw Lower Boones Ferry Rd, Tigard, OR 97224 Phone: 503-906-8600 Fax: 503-716-4607 | |
Oregon Mobile Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11820 Sw King James Pl Ste 10j, Tigard, OR 97224 Phone: 503-616-5000 | |
Tigard Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12720 Sw Pacific Hwy Ste 2, Tigard, OR 97223 Phone: 503-684-9017 |