DR. Jeremy E Archibald, DDS

NPI #1336352368 in Gresham, Oregon

Provider Information

NPI Number: 1336352368
Entity Type: Individual
Name: DR. Jeremy E Archibald, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 7, 2007
Last Updated: Mar 31, 2016

Practice Location

Address: 742 NE DIVISION ST STE 101
City: Gresham
State: Oregon
ZIP Code: 97030-3979
Phone: (503) 665-7017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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