CODY MERRIL BYWATERS

LAKE OSWEGO, OR
NPI1407100233
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122400000X Denturist
(Licence: OR  DTDO10126042)
Enumeration Date2012-10-31
Last Update Date2012-10-31
Business Address
Mr. CODY MERRIL BYWATERS Licensed Denturist
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035-3446
Phone number: 503-635-8060
Mailing Address
Mr. CODY MERRIL BYWATERS Licensed Denturist
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035-3446
Phone number: 503-635-8060