| Jade Dental Llc | |
|
12450 Sw Pioneer Ln Beaverton OR 97008-8377 | |
| (510) 501-4317 | |
| Not Available |
| Full Name | Jade Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12450 Sw Pioneer Ln, Beaverton, Oregon |
| Authorized Official Name and Position | Patrick Ching Hsiang Chuang (OWNER) |
| Authorized Official Contact | 5105014317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jade Dental Llc 3570 Sw River Pkwy Unit 1611 Portland OR 97239-4544 Ph: (510) 501-4317 | Jade Dental Llc 12450 Sw Pioneer Ln Beaverton OR 97008-8377 Ph: (510) 501-4317 |
| NPI Number | 1003467358 |
|---|---|
| Provider Enumeration Date | 09/26/2019 |
| Last Update Date | 09/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003467358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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