DECA DENTISTRY
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1124548235- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 501 NE HOOD AVE STE 235, GRESHAM, OR, 970307346
- Phone
- (503) 661-4900
Specialties & Taxonomies
Dentist, Endodontics
License: OR #D10376
Dentist, Pediatric Dentistry
Dentist, General Practice
Primary License: OR #D10377