Richard A. Whipple D.d.s

NPI #1154680122 in Tigard, Oregon

Provider Information

NPI Number: 1154680122
Entity Type: Organization
Organization Name: Richard A. Whipple D.d.s
Primary Specialty: Dentist - General Practice
Enumeration Date: May 11, 2012
Last Updated: May 11, 2012

Practice Location

Address: 11525 SW DURHAM RD
City: Tigard
State: Oregon
ZIP Code: 97224-3475
Phone: (503) 620-6133

Authorized Official

Name: DR. RICHARD A. WHIPPLE, D.D.S
Title: OWNER
Phone: (503) 620-6133

Specialties & Taxonomy Codes

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

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