Myron T Peng, DMD
NPI #1417144387 in Grand Ronde, Oregon
Provider Information
- NPI Number
- 1417144387
- Entity Type
- Individual
- Name
- Myron T Peng, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Sep 25, 2007
- Last Updated
- Sep 25, 2007
Practice Location
- Address
- 9605 GRAND RONDE RD
- City
- Grand Ronde
- State
- Oregon
- ZIP Code
- 97347-9712
- Phone
- (503) 879-2236
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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