DECA DENTISTRY

Dentist - General Practice

Active Organization
NPI: 1124548235

Practice Address

501 NE HOOD AVE STE 235
Gresham, OR 97030

Phone: (503) 661-4900

Specialties

Specialty Code Primary License
Dentist - Endodontics 1223E0200X No D10376 (OR)
Dentist - Pediatric Dentistry 1223P0221X No -
Dentist - General Practice 1223G0001X Yes D10377 (OR)

Frequently Asked Questions

NPI 1124548235 is the National Provider Identifier for DECA DENTISTRY, a Dentist - General Practice provider located in Gresham, OR. This NPI was enumerated on June 21, 2017.

Quick Facts

NPI
1124548235
Type
Organization
Enumerated
Jun 21, 2017
Last Updated
Mar 17, 2018

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