Gresham Family Dentistry, PC

NPI #1487990172 in Gresham, Oregon

Provider Information

NPI Number: 1487990172
Entity Type: Organization
Organization Name: Gresham Family Dentistry, PC
Primary Specialty: Dentist
Enumeration Date: Dec 27, 2012
Last Updated: Dec 27, 2012

Practice Location

Address: 501 NE HOOD AVE STE 333
City: Gresham
State: Oregon
ZIP Code: 97030-7346
Phone: (503) 661-2600

Authorized Official

Name: DR. SUMMER ARCHIBALD
Title: PRESIDENT
Phone: (503) 661-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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