JOVAN M GVOZDEN DMD MASTER DENTAL CORP
Managed Care Organizations at Powell Blvd, Portland, OR

License number
Oregon D8856
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: JOVAN M GVOZDEN DMD
Title: GENERAL DENTIST
Phone: (503) 853-5284
Address
Address
12661 SE Powell Blvd, Portland, OR 97236
National Provider ID: 1588992317
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JOVAN M. GVOZDEN DMD *MASTER DENTAL* CORP

Portland, OR

Industry:
Dentist's Office
Registration:
Oct 21, 2009
Addresses:
12661 SE Powell Blvd STE C, Portland, OR 97236 (Physical)
1441 NW Slocum Way, Portland, OR 97229 (Mailing)
State ID:
63906995
Business type:
DOMESTIC BUSINESS CORPORATION
Principal:
Jovan M. Gvozden (Principal)
Agent:
Jovan Mgvozden,12661 SE Powell Blvd STE C, Portland, OR 97236 (Physical)

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