| Gd Group Llc | |
|
315 Nw Burnside Rd Gresham OR 97030-3851 | |
| (503) 666-5484 | |
| Not Available |
| Full Name | Gd Group Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 315 Nw Burnside Rd, Gresham, Oregon |
| Authorized Official Name and Position | Aleta Beuter (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7754094614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gd Group Llc 3605 Grant Dr Reno NV 89509-5301 Ph: () - | Gd Group Llc 315 Nw Burnside Rd Gresham OR 97030-3851 Ph: (503) 666-5484 |
| NPI Number | 1043911662 |
|---|---|
| Provider Enumeration Date | 03/10/2023 |
| Last Update Date | 03/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043911662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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