BRYAN CLEVENGER

TIGARD, OR
NPI1780065128
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OR  D11035)
Enumeration Date2015-06-11
Last Update Date2020-09-30
Business Address
BRYAN CLEVENGER DDS
7095 SW GONZAGA ST
TIGARD, OR 97223-8309
Phone number: 855-433-6825
Mailing Address
BRYAN CLEVENGER DDS
6950 NE CAMPUS WAY
HILLSBORO, OR 97124-5611
Phone number: 855-433-6825
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