Provider Demographics
NPI:1235568494
Name:ARBOR HILLS DENTAL LLC
Entity Type:Organization
Organization Name:ARBOR HILLS DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:503-523-6528
Mailing Address - Street 1:504 VILLA RD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:NEWBERG
Mailing Address - State:OR
Mailing Address - Zip Code:97132-1851
Mailing Address - Country:US
Mailing Address - Phone:503-538-2143
Mailing Address - Fax:
Practice Address - Street 1:504 VILLA RD
Practice Address - Street 2:SUITE #1
Practice Address - City:NEWBERG
Practice Address - State:OR
Practice Address - Zip Code:97132-1851
Practice Address - Country:US
Practice Address - Phone:503-538-2143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD9693122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty