KELLY ANN DEZURA

CLACKAMAS, OR
NPI1306009881
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OR  D9858)
Enumeration Date2008-07-06
Last Update Date2013-08-28
Business Address
Dr. KELLY ANN DEZURA D.M.D.
10181 SE SUNNYSIDE RD OTOLARYNGOLOGY (ENT)
CLACKAMAS, OR 97015
Phone number: 510-571-4727
Mailing Address
Dr. KELLY ANN DEZURA D.M.D.
3717 NE 12TH AVE
PORTLAND, OR 97212-1241
Phone number: 419-306-6443
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