Pettygrove Dental LLC
Pettygrove Dental LLC is a General Practice Dentistry in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2017.
- Licensed in
- OR
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2267 NW Pettygrove StPortland, OR 97210-2760
Phone: (503) 224-6317
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D9708 (OR) |
|---|
Record details
| NPI number | 1558801597 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carmel Doran — Dentist · (503) 224-6317 |
| NPI enumerated | February 23, 2017 |
| Last updated in NPPES | February 23, 2017 |
| Mailing address | 2267 Nw Pettygrove St, Portland, OR 97210-2760 |
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Dr. Andrew Kyanh Phan, DMD
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