TLC DENTISTRY
Dentist in Portland, OR

License number
Oregon D6465
Category
Dentist
Type
Dentist
Owner
Name: DR. ANDREW KYANH PHAN D.M.D.
Title: DOCTOR OF DENTAL MEDICINE. OWNER.
Phone: (503) 774-3546
Address
Address
6919 SE 82 Ave. STE 103, Portland, OR 97266
National Provider ID: 1356604516
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TLC DENTISTRY at bizstanding.com

TLC DENTISTRY LLC

Portland, OR

Registration:
May 2, 2011
Addresses:
6919 SE 82 Ave STE 103, Portland, OR 97266 (Physical)
6919 SE 82 Ave STE 101, Portland, OR 97266 (Mailing)
State ID:
76921890
Business type:
Domestic Limited Liability Company
Agent:
Andrew Pa,6919 SE 82 Ave STE 103, Portland, OR 97266 (Physical)

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