Roger Donald Dimick DMD

NPI 1609955772 - Dentist - 1223G0001X

NPI Details
NPI 1609955772
Gender Male
Enumeration Date 11/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
11565 SW HALL BLVD STE C
TIGARD OR, 97223-8493, US
Phone (503) 670-7088
Fax (503) 443-1448
Business Location
5060 GREENSBOROUGH CT
LAKE OSWEGO OR, 97035-8748, US
Phone (503) 670-7088
Fax (503) 443-1448
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number 4319
Remove 1609955772 NPI Number
 

According to our database, Roger Donald Dimick DMD NPI is 1609955772, taxonomy code is 1223G0001X and license number is 4319, license state is located at Oregon. Roger Donald Dimick DMD physically located at 11565 Sw Hall Blvd Ste C, Tigard OR, 97223-8493. NPI Number Roger Donald Dimick DMD has the Individual type.

Sponsored links

1609955772 NPI number is provided on an as is basis without warranty of any kind. 1609955772 is maintained by the National Plan & Provider Enumeration System. The contents of Roger Donald Dimick DMD are for informational purposes only.