William C Underwood DMD

NPI 1043217904 - Dentist - 1223E0200X

NPI Details
NPI 1043217904
Gender Male
Enumeration Date 07/06/2005
Last Updated 03/31/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
13908 SE STARK ST
STE A
PORTLAND OR, 97233-2161, US
Phone (503) 257-0545
Fax
Business Location
4465 SW BERNARD DR
PORTLAND OR, 97239-1514, US
Phone (503) 241-3755
Fax
Toxanomy
Taxonomy Code 1223E0200X
License State Oregon
License Number 5280
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According to our database, Dr. William C Underwood DMD NPI is 1043217904, taxonomy code is 1223E0200X and license number is 5280, license state is located at Oregon. William C Underwood DMD physically located at 13908 Se Stark St, Portland OR, 97233-2161. NPI Number William C Underwood DMD has the Individual type.

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1043217904 NPI number is provided on an as is basis without warranty of any kind. 1043217904 is maintained by the National Plan & Provider Enumeration System. The contents of William C Underwood DMD are for informational purposes only.