EDWIN CHARLES THORESON

ESTACADA, OR
NPI1225012123
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D4884)
Enumeration Date2005-12-04
Last Update Date2015-03-31
Business Address
Dr. EDWIN CHARLES THORESON D.M.D.
630 N BROADWAY ST
ESTACADA, OR 97023-8584
Phone number: 503-630-4219
Mailing Address
Dr. EDWIN CHARLES THORESON D.M.D.
P.O. BOX 929
ESTACADA, OR 97023
Phone number: 503-630-4219
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