DR. Ronald Glen Packham, D.M.D.

NPI #1346236718 in Aloha, Oregon

Provider Information

NPI Number: 1346236718
Entity Type: Individual
Name: DR. Ronald Glen Packham, D.M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Sep 21, 2005
Last Updated: May 26, 2016

Practice Location

Address: 18455 SW ALEXANDER ST
Address 2: SUITE B
City: Aloha
State: Oregon
ZIP Code: 97006-3967
Phone: (503) 649-9927

Specialties & Taxonomy Codes

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

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