Ronald D Farris, DDM, LD

NPI #1952584237 in Gresham, Oregon

Provider Information

NPI Number: 1952584237
Entity Type: Individual
Name: Ronald D Farris, DDM, LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Denturist
Credential: DDM, LD
Enumeration Date: Dec 10, 2007
Last Updated: Dec 10, 2007

Practice Location

Address: 21511 SE STARK ST
City: Gresham
State: Oregon
ZIP Code: 97030-2025
Phone: (503) 666-1698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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