| Family Dental Care | |
|
8070 Sw Hall Blvd Suite 200 Beaverton OR 97008-6419 | |
| (503) 644-1110 | |
| (503) 641-6431 |
| Full Name | Family Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8070 Sw Hall Blvd, Beaverton, Oregon |
| Authorized Official Name and Position | Angela Kati Marecek (OFFICE MANAGER) |
| Authorized Official Contact | 5036441110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Care 8070 Sw Hall Blvd Suite 200 Beaverton OR 97008-6419 Ph: (503) 644-1110 | Family Dental Care 8070 Sw Hall Blvd Suite 200 Beaverton OR 97008-6419 Ph: (503) 644-1110 |
| NPI Number | 1164519708 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 07/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164519708 | NPI | - | NPPES |
| 010640 | Other | OR | OFFICE OF MEDICAL ASS |
| 278353 | Medicaid | OR | |
| 768520 | Other | OR | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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