HUMBLE RICHMOND & RUSSELL ORAL & MAXILLOFACIAL SURGERY, LLC

Dentist - Oral and Maxillofacial Surgery

Active Organization
NPI: 1902100316

Practice Address

1201 SE 223RD AVE
SUITE 180
Gresham, OR 97030

Phone: (503) 667-1431

Specialties

Specialty Code Primary License
Dentist - Oral and Maxillofacial Surgery 1223S0112X Yes D6660 (OR)

Frequently Asked Questions

NPI 1902100316 is the National Provider Identifier for HUMBLE RICHMOND & RUSSELL ORAL & MAXILLOFACIAL SURGERY, LLC, a Dentist - Oral and Maxillofacial Surgery provider located in Gresham, OR. This NPI was enumerated on December 28, 2010.

Quick Facts

NPI
1902100316
Type
Organization
Enumerated
Dec 28, 2010
Last Updated
Dec 28, 2010

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