| Distinctive Dentistry | |
|
13110 Se Sunnyside Rd Happy Valley OR 97015-8468 | |
| (503) 698-4884 | |
| (503) 698-6601 |
| Full Name | Distinctive Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13110 Se Sunnyside Rd, Happy Valley, Oregon |
| Authorized Official Name and Position | Noelle M Klemann (OWNER) |
| Authorized Official Contact | 5037013589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Distinctive Dentistry 13110 Se Sunnyside Rd Ste A Clackamas OR 97015-8468 Ph: (036) 984-8845 | Distinctive Dentistry 13110 Se Sunnyside Rd Happy Valley OR 97015-8468 Ph: (503) 698-4884 |
| NPI Number | 1871197624 |
|---|---|
| Provider Enumeration Date | 11/23/2020 |
| Last Update Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871197624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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