Gary L Fisher, DMD

NPI #1902993694 in Gresham, Oregon

Provider Information

NPI Number: 1902993694
Entity Type: Individual
Name: Gary L Fisher, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Oct 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 320 NE 5TH ST
City: Gresham
State: Oregon
ZIP Code: 97030
Phone: (503) 666-5484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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