BOONYAPA PURT DMD
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1609281997- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD
- Status
- Active
Contact & Location
- Address
- 1046 NE 3RD ST, MCMINNVILLE, OR, 971284418
- Phone
- (503) 472-1468
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: OR #D10055
All Addresses
MAILING
1046 NE 3RD ST
MCMINNVILLE, OR, 971284418