Gresham Family Dentistry, Pc | |
501 Ne Hood Ave Ste 333 Gresham OR 97030-7346 | |
(503) 661-2600 | |
(503) 661-2602 |
Full Name | Gresham Family Dentistry, Pc |
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Speciality | Dentist |
Location | 501 Ne Hood Ave Ste 333, Gresham, Oregon |
Authorized Official Name and Position | Summer Archibald (PRESIDENT) |
Authorized Official Contact | 5036612600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gresham Family Dentistry, Pc 501 Ne Hood Ave Ste 333 Gresham OR 97030-7346 Ph: () - | Gresham Family Dentistry, Pc 501 Ne Hood Ave Ste 333 Gresham OR 97030-7346 Ph: (503) 661-2600 |
NPI Number | 1487990172 |
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Provider Enumeration Date | 12/27/2012 |
Last Update Date | 12/27/2012 |
Identifier | Type | State | Issuer |
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1487990172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D8588 (Oregon) | Primary |
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