| John H Frick Dmd Pc | |
|
2150 Ne Division St #210 Gresham OR 97030-5813 | |
| (503) 666-9436 | |
| (503) 492-4387 |
| Full Name | John H Frick Dmd Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2150 Ne Division St, Gresham, Oregon |
| Authorized Official Name and Position | John H Frick Dmd (PRESIDENT) |
| Authorized Official Contact | 5036669436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John H Frick Dmd Pc 2150 Ne Division St #210 Gresham OR 97030-5813 Ph: (503) 666-9436 | John H Frick Dmd Pc 2150 Ne Division St #210 Gresham OR 97030-5813 Ph: (503) 666-9436 |
| NPI Number | 1548259252 |
|---|---|
| Provider Enumeration Date | 10/14/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548259252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 4622 P (Oregon) | Primary |
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