Ulrich Guenter Schockelt DMD

NPI 1003813312 - Dentist - 122300000X

NPI Details
NPI 1003813312
Gender Male
Enumeration Date 06/30/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
4150 PACIFIC AVE
SUITE 200
FOREST GROVE OR, 97116-2276, US
Phone (503) 357-3121
Fax
Business Location
4150 PACIFIC AVE
SUITE 200
FOREST GROVE OR, 97116-2276, US
Phone (503) 357-3121
Fax
Toxanomy
Taxonomy Code 122300000X
License State Oregon
License Number D5558
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According to our database, Dr. Ulrich Guenter Schockelt DMD NPI is 1003813312, taxonomy code is 122300000X and license number is D5558, license state is located at Oregon. Ulrich Guenter Schockelt DMD physically located at 4150 Pacific Ave, Forest Grove OR, 97116-2276. NPI Number Ulrich Guenter Schockelt DMD has the Individual type.

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1003813312 NPI number is provided on an as is basis without warranty of any kind. 1003813312 is maintained by the National Plan & Provider Enumeration System. The contents of Ulrich Guenter Schockelt DMD are for informational purposes only.