DR. Samuel Gottlieb, D.D.S.

NPI #1750300687 in Beaverton, Oregon

Provider Information

NPI Number: 1750300687
Entity Type: Individual
Name: DR. Samuel Gottlieb, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: D.D.S.
Enumeration Date: Jul 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 17675 SW TUALATIN VALLEY HWY
City: Beaverton
State: Oregon
ZIP Code: 97006-4443
Phone: (503) 259-3160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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