| Dean B Petterson Dmd Pc | |
|
121 Nw 1st St Gresham OR 97030-7215 | |
| (503) 667-1001 | |
| (503) 663-3500 |
| Full Name | Dean B Petterson Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 121 Nw 1st St, Gresham, Oregon |
| Authorized Official Name and Position | Dean Petterson (OWNER) |
| Authorized Official Contact | 5036671001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dean B Petterson Dmd Pc 121 Nw 1st St Gresham OR 97030-7215 Ph: (503) 667-1001 | Dean B Petterson Dmd Pc 121 Nw 1st St Gresham OR 97030-7215 Ph: (503) 667-1001 |
| NPI Number | 1295846376 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295846376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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