Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric Dental Clinic

Organization Pediatric Dentistry · NPI 1679897292

Pediatric Dental Clinic is a Pediatric Dentistry in Tualatin, Oregon. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

19255 SW 65th Ave Ste 250
Tualatin, OR 97062-7451
Phone: (503) 612-1897
Fax: (503) 612-1899
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1679897292
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ben Kang — Owner · (503) 612-1897
NPI enumeratedMarch 25, 2010
Last updated in NPPESMarch 25, 2010
Mailing address19255 Sw 65th Ave, Suite 250, Tualatin, OR 97062-7451

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