DR. Edwin Charles Thoreson, D.M.D.

NPI #1225012123 in Estacada, Oregon

Provider Information

NPI Number: 1225012123
Entity Type: Individual
Name: DR. Edwin Charles Thoreson, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Dec 4, 2005
Last Updated: Mar 31, 2015

Practice Location

Address: 630 N BROADWAY ST
City: Estacada
State: Oregon
ZIP Code: 97023-8584
Phone: (503) 630-4219

Specialties & Taxonomy Codes

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

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Organizations

Provider Name	Specialty	City
Estacada Family Dental, LLC	Dentist - General Practice	Estacada	AI Deep Dive

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