BROCK D HERRIGES

PORTLAND, OR
NPI1942427216
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: OR  D8371)
Enumeration Date2007-04-19
Last Update Date2007-07-08
Business Address
Dr. BROCK D HERRIGES DMD
1130 SE 122ND AVE
PORTLAND, OR 97233-1112
Phone number: 503-252-5515
Mailing Address
Dr. BROCK D HERRIGES DMD
1130 SE 122ND AVE
PORTLAND, OR 97233-1112
Phone number: 503-252-5515