Alexander Donick, DDS

NPI #1750876082 in La Grande, Oregon

Provider Information

NPI Number: 1750876082
Entity Type: Individual
Name: Alexander Donick, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 28, 2018
Last Updated: Oct 15, 2019

Practice Location

Address: 1502 N PINE ST STE 2
City: La Grande
State: Oregon
ZIP Code: 97850-3543
Phone: (541) 963-8585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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