DR. Steven Raymond Dierickx, DMD
NPI #1629032255 in Forest Grove, Oregon
Provider Information
- NPI Number
- 1629032255
- Entity Type
- Individual
- Name
- DR. Steven Raymond Dierickx, DMD
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Apr 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2031 HAWTHORNE ST
- Address 2
- SUITE G
- City
- Forest Grove
- State
- Oregon
- ZIP Code
- 97116-1700
- Phone
- (503) 357-2171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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