Gehred Family Dental

NPI #1043528169 in Portland, Oregon

Provider Information

NPI Number: 1043528169
Entity Type: Organization
Organization Name: Gehred Family Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 23, 2010
Last Updated: Sep 23, 2010

Practice Location

Address: 4839 NE 42ND AVE
City: Portland
State: Oregon
ZIP Code: 97218-1609
Phone: (503) 284-6469

Authorized Official

Name: DR. CORNELIUS GEHRED, DDS
Title: PRESIDENT
Phone: (503) 284-6469

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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