Gehred Family Dental

NPI #1730497868 in Portland, Oregon

Provider Information

NPI Number: 1730497868
Entity Type: Organization
Organization Name: Gehred Family Dental
Primary Specialty: Dentist
Enumeration Date: Sep 23, 2010
Last Updated: Sep 23, 2010

Practice Location

Address: 10340 SE DIVISION ST
Address 2: SUITE 1
City: Portland
State: Oregon
ZIP Code: 97266-1269
Phone: (503) 254-2068

Authorized Official

Name: DR. CORNELIUS GEHRED, DDS
Title: PRESIDENT
Phone: (503) 254-2068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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