DANIELLE AMI PLOUSSARD D.D.S., M.D.
Individual Provider (NPI-1)
Active
Oral & Maxillofacial Surgery
Provider Information
- NPI Number
1841650777- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.D.S., M.D.
- Status
- Active
Contact & Location
- Address
- 11786 SW BARNES RD STE 110, PORTLAND, OR, 972255926
- Phone
- (503) 444-6444
- Fax
- (503) 444-4243
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Oral & Maxillofacial Surgery
License: NC #2024-00524
Oral & Maxillofacial Surgery
Primary License: OR #D10939
Dentist
License: WA #DR60650631