Sublimity Dental

NPI #1538434022 in Sublimity, Oregon

Provider Information

NPI Number: 1538434022
Entity Type: Organization
Organization Name: Sublimity Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 15, 2012
Last Updated: Mar 15, 2012

Practice Location

Address: 231 NW STARR ST
City: Sublimity
State: Oregon
ZIP Code: 97385-9827
Phone: (503) 769-5611

Authorized Official

Name: DR. JEFFREY J GRIES, D.M.D.
Title: DENTIST/OWNER
Phone: (503) 769-5611

Specialties & Taxonomy Codes

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

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