Jesse R Gridley, DMD
NPI #1821398223 in North Bend, Oregon
Provider Information
- NPI Number
- 1821398223
- Entity Type
- Individual
- Name
- Jesse R Gridley, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Nov 1, 2010
- Last Updated
- Nov 1, 2010
Practice Location
- Address
- 1885 WAITE ST
- City
- North Bend
- State
- Oregon
- ZIP Code
- 97459-1210
- Phone
- (541) 756-1117
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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