| Tualatin Cosmetic & Family Dentistry | |
|
8555 Sw Tualatin Rd Tualatin OR 97062-9425 | |
| (503) 692-1450 | |
| (503) 352-9395 |
| Full Name | Tualatin Cosmetic & Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 8555 Sw Tualatin Rd, Tualatin, Oregon |
| Authorized Official Name and Position | Michael William Gehlen (PRESIDENT) |
| Authorized Official Contact | 5036921450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tualatin Cosmetic & Family Dentistry 7940 Sw 191st Ave Beaverton OR 97007-9017 Ph: (503) 692-1450 | Tualatin Cosmetic & Family Dentistry 8555 Sw Tualatin Rd Tualatin OR 97062-9425 Ph: (503) 692-1450 |
| NPI Number | 1194983171 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194983171 | NPI | - | NPPES |
| D4430 | Other | OR | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D4430 (Oregon) | Primary |
Edward D. Lacy, Dmd. Fagd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8220 Sw Warm Springs St, Suite 200, Tualatin, OR 97062 Phone: 503-692-0337 Fax: 503-692-0792 | |
Daniel Petrisor Dmd Md Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6464 Sw Borland Rd Ste D3, Tualatin, OR 97062 Phone: 214-316-5743 | |
Tualatin Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18803 Sw Boones Ferry Rd, Suite 5, Tualatin, OR 97062 Phone: 503-692-3747 Fax: 503-612-6948 | |
Warm Springs Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8220 Sw Warm Springs St, Ste 200, Tualatin, OR 97062 Phone: 503-692-0337 | |
Tualatin Modern Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7017 Sw Nyberg Street, Tualatin, OR 97062 Phone: 503-612-8736 Fax: 503-612-8737 | |
Renee L Weichel Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18761 Sw Martina Avenue, Tualatin, OR 97062 Phone: 503-691-8900 Fax: 503-691-8992 |