DR. Stephen John Persichetti, DDS

NPI #1114932779 in Portland, Oregon

Provider Information

NPI Number: 1114932779
Entity Type: Individual
Name: DR. Stephen John Persichetti, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1221 SW YAMHILL STREET
Address 2: SUITE 310
City: Portland
State: Oregon
ZIP Code: 97205
Phone: (503) 227-0958

Specialties & Taxonomy Codes

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

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