DR. Theron Nebeker, D.M.D

NPI #1720497316 in Keizer, Oregon

Provider Information

NPI Number: 1720497316
Entity Type: Individual
Name: DR. Theron Nebeker, D.M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D
Enumeration Date: Aug 7, 2014
Last Updated: Aug 7, 2014

Practice Location

Address: 1057 TAURUS LOOP NE
City: Keizer
State: Oregon
ZIP Code: 97303-3380
Phone: (503) 504-0954

Specialties & Taxonomy Codes

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

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