CHARLES RICHARD DTALEY

BEAVERTON, OR
NPI1750451555
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: OR  4879)
Enumeration Date2006-11-09
Last Update Date2007-07-08
Business Address
Dr. CHARLES RICHARD DTALEY DMD
14495 SW ALLEN BLVD
BEAVERTON, OR 97005-4427
Phone number: 503-526-0318
Mailing Address
Dr. CHARLES RICHARD DTALEY DMD
6950 NE CAMPUS WAY
HILLSBORO, OR 97124-5611
Phone number: 503-952-2164
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