DR. William Forest Runckel, DMD

NPI #1912207564 in Milwaukie, Oregon

Provider Information

NPI Number: 1912207564
Entity Type: Individual
Name: DR. William Forest Runckel, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Oct 29, 2010
Last Updated: Oct 29, 2010

Practice Location

Address: 2025 SE WAHINGTON ST.
City: Milwaukie
State: Oregon
ZIP Code: 97222
Phone: (503) 317-1809

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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