Provider Demographics
NPI:1457066136
Name:ARROW DENTAL LLC
Entity type:Organization
Organization Name:ARROW DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:BREON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-868-6726
Mailing Address - Street 1:10505 SE 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222-7475
Mailing Address - Country:US
Mailing Address - Phone:541-868-6726
Mailing Address - Fax:
Practice Address - Street 1:2520 SE 145TH AVE STE C
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97236-2671
Practice Address - Country:US
Practice Address - Phone:503-653-4093
Practice Address - Fax:503-653-4891
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARROW DENTAL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty