| Noland Dental Llc | |
|
12400 Sw Allen Blvd Beaverton OR 97005-4839 | |
| (503) 789-8465 | |
| (503) 646-8123 |
| Full Name | Noland Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 12400 Sw Allen Blvd, Beaverton, Oregon |
| Authorized Official Name and Position | Paul Brooks Noland (DENTIST/MANAGING MEMBER) |
| Authorized Official Contact | 5037898465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Noland Dental Llc Po Box 8646 Portland OR 97207-8646 Ph: (503) 789-8465 | Noland Dental Llc 12400 Sw Allen Blvd Beaverton OR 97005-4839 Ph: (503) 789-8465 |
| NPI Number | 1568854040 |
|---|---|
| Provider Enumeration Date | 02/20/2015 |
| Last Update Date | 02/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568854040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9092 (Oregon) | Primary |
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