The Denture Studio

NPI #1689093213 in Gresham, Oregon

Provider Information

NPI Number: 1689093213
Entity Type: Organization
Organization Name: The Denture Studio
Primary Specialty: Denturist
Enumeration Date: Apr 10, 2014
Last Updated: Apr 10, 2014

Practice Location

Address: 21511 SE STARK ST
City: Gresham
State: Oregon
ZIP Code: 97030-2025
Phone: (503) 666-1698

Authorized Official

Name: RONALD FARRIS
Title: DENTURIST
Phone: (503) 666-1698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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