| Jonathan Faris Dmd Pc | |
|
2031 Hawthorne St Ste B Forest Grove OR 97116-1700 | |
| (503) 359-4463 | |
| Not Available |
| Full Name | Jonathan Faris Dmd Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2031 Hawthorne St Ste B, Forest Grove, Oregon |
| Authorized Official Name and Position | Jonathan Faris (PRESIDENT) |
| Authorized Official Contact | 5038402433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Faris Dmd Pc 2031 Hawthorne St Ste B Forest Grove OR 97116-1700 Ph: (503) 840-2433 | Jonathan Faris Dmd Pc 2031 Hawthorne St Ste B Forest Grove OR 97116-1700 Ph: (503) 359-4463 |
| NPI Number | 1619743952 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 02/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619743952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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