ROGER DONALD DIMICK

TIGARD, OR
NPI1609955772
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: OR  4319)
Enumeration Date2006-11-02
Last Update Date2007-07-08
Business Address
ROGER DONALD DIMICK DMD
11565 SW HALL BLVD STE C
TIGARD, OR 97223-8493
Phone number: 503-670-7088
Mailing Address
ROGER DONALD DIMICK DMD
5060 GREENSBOROUGH CT
LAKE OSWEGO, OR 97035-8748
Phone number: 503-670-7088
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