DEREK W. CONKLIN DMD PC

SANDY, OR
NPI1558635391
Entity TypeOrganization
Authorized ContactDEREK W. CONKLIN
President
503-668-4655
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D8325)
Enumeration Date2012-02-24
Last Update Date2012-02-24
Business Address
DEREK W. CONKLIN DMD PC
17471 SHELLEY AVE STE A
SANDY, OR 97055-8084
Phone number: 503-668-4655
Mailing Address
DEREK W. CONKLIN DMD PC
17471 SHELLEY AVE STE A
SANDY, OR 97055-8084
Phone number: 503-668-4655
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