| Daniel J Ries, Dmd, Pc | |
|
1201 Se 223rd Ave Suite 140 Gresham OR 97030-2574 | |
| (503) 665-8116 | |
| Not Available |
| Full Name | Daniel J Ries, Dmd, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1201 Se 223rd Ave, Gresham, Oregon |
| Authorized Official Name and Position | Daniel James Ries (DENTIST/OWNER) |
| Authorized Official Contact | 5036658116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel J Ries, Dmd, Pc 1201 Se 223rd Ave Suite 140 Gresham OR 97030-2574 Ph: (503) 665-8116 | Daniel J Ries, Dmd, Pc 1201 Se 223rd Ave Suite 140 Gresham OR 97030-2574 Ph: (503) 665-8116 |
| NPI Number | 1871768853 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 04/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871768853 | NPI | - | NPPES |
| 1386715910 | Other | OR | NPI ENTITY TYPE 1 INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6196 (Oregon) | Primary |
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