DR. Stanley Walter Bohnstedt, D.M.D.

NPI #1801005582 in Portland, Oregon

Provider Information

NPI Number: 1801005582
Entity Type: Individual
Name: DR. Stanley Walter Bohnstedt, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: May 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 15012 SE STARK ST
City: Portland
State: Oregon
ZIP Code: 97233-2854
Phone: (503) 255-9339

Specialties & Taxonomy Codes

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

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