Mayerle Dental
NPI #1821164427 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1821164427
- Entity Type
- Organization
- Organization Name
- Mayerle Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 27, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 14800 KRUSE OAKS DR
- Address 2
- STE A
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035
- Phone
- (503) 684-2944
Authorized Official
- Name
- DR. BRAD A MAYERLE, DMD
- Title
- PRESIDENT OWNER
- Phone
- (503) 684-2944
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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