NORTHWEST ORAL AND MAXILLOFACIAL SURGEONS

Dentist - Oral and Maxillofacial Surgery

Active Organization
NPI: 1417385857

Practice Address

24850 SE STARK ST STE 100
Gresham, OR 97030

Phone: (503) 665-7882

Specialties

Specialty Code Primary License
Dentist - Oral and Maxillofacial Surgery 1223S0112X Yes D8342 (OR)

Frequently Asked Questions

NPI 1417385857 is the National Provider Identifier for NORTHWEST ORAL AND MAXILLOFACIAL SURGEONS, a Dentist - Oral and Maxillofacial Surgery provider located in Gresham, OR. This NPI was enumerated on October 22, 2013.

Quick Facts

NPI
1417385857
Type
Organization
Enumerated
Oct 22, 2013
Last Updated
Oct 22, 2013

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