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Odonto Prosthetics — NPI 1871897496, Portland, OR | NPI Central

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NPI 1871897496

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Odonto Prosthetics

NPI 1871897496 · Dental Laboratory · Portland, OR

Provider details

NPI number: 1871897496
Entity type: Organization
Primary specialty: Dental LaboratoryLaboratories
Organization subpart: No
Authorized official: Peter Phan, Owner(503) 235-0774
License: 686917 (OR)

Specialties & taxonomies

Dental LaboratoryPrimary292200000XLicense 686917 (OR)
Laboratories

Practice location

15 Se 22nd Avenue

Portland, OR 97214-1679

Phone: (503) 235-0774

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

15 Se 22nd Avenue

Portland, OR 97214-1679

Registry dates

Enumerated: 2010-12-23
Last updated: 2010-12-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.