KODY JAMES CROOK

PORTLAND, OR
NPI1114651460
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D11634)
Enumeration Date2022-07-13
Last Update Date2022-07-13
Business Address
KODY JAMES CROOK DMD
5071 NE 122ND AVE
PORTLAND, OR 97230-1003
Phone number: 503-255-5700
Mailing Address
KODY JAMES CROOK DMD
5809 SE 29TH TER
GRESHAM, OR 97080-8608
Phone number:
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