COLUMBIA RIVER DENTISTRY-GRESHAM, LLC

GRESHAM, OR
NPI1508416041
Entity TypeOrganization
Authorized ContactDEBBIE LOPEZ
Regional Manager
503-914-8221
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2019-09-17
Last Update Date2019-09-17
Business Address
COLUMBIA RIVER DENTISTRY-GRESHAM, LLC
1700 NW CIVIC DR STE 320
GRESHAM, OR 97030-3774
Phone number: 503-666-5200
Mailing Address
COLUMBIA RIVER DENTISTRY-GRESHAM, LLC
1700 NW CIVIC DR STE 320
GRESHAM, OR 97030-3774
Phone number: 503-666-5200
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