in Gresham - General Practice

- NPI 1679623557

is a General Practice in Gresham, Oregon. practices all healthcare services and medical treatments related to General Practice. The NPI Number for is 1679623557. The last update date is .

's current location address is 915 Ne 2nd St, Gresham, Oregon. You can contact this provider via phone number 5036658283 and fax number 5036697263. The mailing address for is 915 Ne 2nd St, Gresham, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 915 Ne 2nd St, Gresham, Oregon
Phone Number 5036658283
Fax Number 5036697263
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1679623557
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 915 Ne 2nd St
City Gresham
State Oregon (OR)
Post Code 970307512
Phone Number 5036658283
Fax Number 5036697263

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D6237
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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