George Fred Daum D.M.D.

NPI 1366617805 - Dentist - 122300000X

NPI Details
NPI 1366617805
Gender Male
Enumeration Date 04/25/2008
Last Updated 04/25/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
831 LANCASTER DR NE
SUITE #2
SALEM OR, 97301-2676, US
Phone (503) 362-8359
Fax (503) 362-8351
Business Location
831 LANCASTER DR NE
SUITE #2
SALEM OR, 97301-2676, US
Phone (503) 362-8359
Fax (503) 362-8351
Toxanomy
Taxonomy Code 122300000X
License State Oregon
License Number D4511
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According to our database, George Fred Daum D.M.D. NPI is 1366617805, taxonomy code is 122300000X and license number is D4511, license state is located at Oregon. George Fred Daum D.M.D. physically located at 831 Lancaster Dr Ne, Salem OR, 97301-2676. NPI Number George Fred Daum D.M.D. has the Individual type.

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1366617805 NPI number is provided on an as is basis without warranty of any kind. 1366617805 is maintained by the National Plan & Provider Enumeration System. The contents of George Fred Daum D.M.D. are for informational purposes only.