RONALD D FARRIS

GRESHAM, OR
NPI1952584237
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122400000X Denturist
(Licence: OR  DT-DO-605320)
Enumeration Date2007-12-10
Last Update Date2007-12-10
Business Address
-- RONALD D FARRIS DDM, LD
21511 SE STARK ST
GRESHAM, OR 97030-2025
Phone number: 503-666-1698
Mailing Address
-- RONALD D FARRIS DDM, LD
21511 SE STARK ST
GRESHAM, OR 97030-2025
Phone number: 503-666-1698
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