Eric J Dierks, MD, DMD

NPI #1265432025 in Portland, Oregon

Provider Information

NPI Number: 1265432025
Entity Type: Individual
Name: Eric J Dierks, MD, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Oral & Maxillofacial Surgery
Credential: MD, DMD
Enumeration Date: Jul 22, 2005
Last Updated: Jun 11, 2018

Practice Location

Address: 1849 NW KEARNEY ST
City: Portland
State: Oregon
ZIP Code: 97209
Phone: (503) 224-1371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Oral & Maxillofacial Surgery	204E00000X	Primary

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