Provider Demographics
NPI:1104372903
Name:HARMONY POINT DENTAL LLC
Entity Type:Organization
Organization Name:HARMONY POINT DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HAIK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:425-248-5439
Mailing Address - Street 1:12845 SE 93RD AVENUE
Mailing Address - Street 2:
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-5735
Mailing Address - Country:US
Mailing Address - Phone:425-248-5439
Mailing Address - Fax:
Practice Address - Street 1:12845 SE 93RD AVE
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-5735
Practice Address - Country:US
Practice Address - Phone:425-248-5439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-31
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD10278305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization