HERITAGE DENTAL
Dentist at Hawthorne Blvd, Portland, OR

License number
Oregon 5651
Category
Ambulatory Health
Type
Dental
License number
Oregon 9096
Category
Ambulatory Health
Type
Dental
Owner
Name: MRS. DENISE JEAN CRANE
Title: OFFICE MANAGER
Phone: (503) 231-8228
Address
Address
4511 SE Hawthorne Blvd SUITE 101, Portland, OR 97215
National Provider ID: 1669759767
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about HERITAGE DENTAL at bizstanding.com

HERITAGE DENTAL, LLC

Portland, OR

Industry:
Dentist's Office
Registration:
Aug 29, 2011
Addresses:
4511 SE Hawthorne Blvd STE 101, Portland, OR 97215 (Physical)
4511 SE Hawthorne Blvd SUITE 101, Portland, OR 97215 (Mailing)
State ID:
79634995
Business type:
Domestic Limited Liability Company
Office Manager:
Denise Jean Crane (Office Manager)
Agent:
Milt Christensen,5000 SW Mdw Rd STE 400, Lake Oswego, OR 97035 (Physical)

CEDAR HILLS HERITAGE DENTAL, LLC

2375 SW Cedar Hl Blvd, Portland, OR 97225

Registration:
May 23, 2011
State ID:
77437094
Business type:
Domestic Limited Liability Company
Agent:
Justin Tooke,2375 SW Cedar Hl Blvd, Portland, OR 97225 (Physical)

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