Humble Richmond & Russell Oral & Maxillofacial Surgery, LLC

NPI #1770887648 in Oregon City, Oregon

Provider Information

NPI Number
1770887648
Entity Type
Organization
Organization Name
Humble Richmond & Russell Oral & Maxillofacial Surgery, LLC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jan 6, 2011
Last Updated
Jan 6, 2011

Practice Location

Address
911 MAIN ST STE 180
State
Oregon
ZIP Code
97045-1870
Phone
(503) 650-6116

Authorized Official

Name
DENISE OLSON
Title
BOOKKEEPER
Phone
(503) 667-1431

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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