Robert D. Grew Dmd, Inc.

NPI #1801216130 in Clackamas, Oregon

Provider Information

NPI Number: 1801216130
Entity Type: Organization
Organization Name: Robert D. Grew Dmd, Inc.
Primary Specialty: Dentist
Enumeration Date: Apr 25, 2014
Last Updated: Apr 25, 2014

Practice Location

Address: 10163 SE SUNNYSIDE ROAD
Address 2: SUITE 414
City: Clackamas
State: Oregon
ZIP Code: 97015
Phone: (503) 653-4079

Authorized Official

Name: ROBERT D. GREW, DMD
Title: OWNER
Phone: (503) 653-4079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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