Jeffrey Firestone, DDS

NPI #1922269885 in Portland, Oregon

Provider Information

NPI Number: 1922269885
Entity Type: Individual
Name: Jeffrey Firestone, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 23, 2008
Last Updated: Jun 23, 2008

Practice Location

Address: 732 SW 3RD AVE
Address 2: SUITE 202
City: Portland
State: Oregon
ZIP Code: 97204-2416
Phone: (503) 541-2580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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