Estacada Family Dental, LLC
NPI #1366059768 in Estacada, Oregon
Provider Information
- NPI Number
- 1366059768
- Entity Type
- Organization
- Organization Name
- Estacada Family Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 29, 2020
- Last Updated
- Sep 29, 2020
Practice Location
Authorized Official
- Name
- CORNELIUS GEHRED, DDS
- Title
- PRESIDENT
- Phone
- (503) 630-4218
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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