| Kumar Dental Group | |
|
12450b Sw Pioneer Lane Beaverton OR 97008 | |
| (503) 590-8883 | |
| (503) 590-0955 |
| Full Name | Kumar Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 12450b Sw Pioneer Lane, Beaverton, Oregon |
| Authorized Official Name and Position | Samir Kishor Kumar (OWNER) |
| Authorized Official Contact | 5035908883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kumar Dental Group 12450b Sw Pioneer Lane Beaverton OR 97008 Ph: (503) 590-8883 | Kumar Dental Group 12450b Sw Pioneer Lane Beaverton OR 97008 Ph: (503) 590-8883 |
| NPI Number | 1437264306 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 07/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437264306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D7769 (Oregon) | Primary |
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