OrganizationActive
All City Denture Clinic PC
NPI 1366755613 · Dental Laboratory · Portland, OR
Provider details
- NPI number
- 1366755613
- Entity type
- Organization
- Primary specialty
- Dental LaboratoryLaboratories
- Authorized official
- Walter Peterson, Employer
- License
- DTDO949472 (OR)
Practice location
12661 Se Powell Blvd
Suite B
Portland, OR 97236-3400
Phone: (503) 760-8409
Fax: (503) 760-8577
Mailing address
12661 Se Powell Blvd
Portland, OR 97236-3400
Registry dates
- Enumerated
- 2010-07-15
- Last updated
- 2010-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.