JAN ANDREW KOONING

PORTLAND, OR
NPI1770599144
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OR  D6081)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
Mr. JAN ANDREW KOONING DMD PC
3549 N LOMBARD
PORTLAND, OR 97217-5901
Phone number: 503-289-9621
Mailing Address
Mr. JAN ANDREW KOONING DMD PC
3549 N LOMBARD
PORTLAND, OR 97217-5901
Phone number: 503-289-9621
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