| Eastside Dental Clinic | |
|
1540 Sw 257th Ave Troutdale OR 97060-7412 | |
| (503) 665-2177 | |
| (503) 666-7130 |
| Full Name | Eastside Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1540 Sw 257th Ave, Troutdale, Oregon |
| Authorized Official Name and Position | John H Kilian (DENTIST OWNER) |
| Authorized Official Contact | 5036652177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Dental Clinic Po Box 700 Troutdale OR 97060-0700 Ph: (503) 665-2177 | Eastside Dental Clinic 1540 Sw 257th Ave Troutdale OR 97060-7412 Ph: (503) 665-2177 |
| NPI Number | 1689675167 |
|---|---|
| Provider Enumeration Date | 08/09/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689675167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Oregon) | Secondary |
| 1223G0001X | Dentist - General Practice | (Oregon) | Primary |
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