AUSTIN PHOENIX

GRESHAM, OR
NPI1538349774
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: OR  D9012)
Enumeration Date2007-11-05
Last Update Date2007-11-05
Business Address
Dr. AUSTIN PHOENIX D.M.D., M.S.D.
443 NW BURNSIDE RD
GRESHAM, OR 97030-3714
Phone number: 503-492-8487
Mailing Address
Dr. AUSTIN PHOENIX D.M.D., M.S.D.
443 NW BURNSIDE RD
GRESHAM, OR 97030-3714
Phone number:
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