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Organization
GRESHAM MODERN DENTISTRY, PC
Active
Organization
GRESHAM MODERN DENTISTRY, PC
Active
Other names
Gresham Modern Dentistry, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD I ASHTON II DMD (OWNER DOCTOR)
(503) 491-5450
Entity
Organization
Contact information
Practice address
387 NE 223RD AVE, GRESHAM, OR 97030-8554
(503) 491-5450
(503) 491-5452
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/19/2012
Last updated
12/31/2013
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