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Individual
DR. R DEAN NYQUIST
Active
Individual
DR. R DEAN NYQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
24157
CA
1223P0221X
Pediatric Dentistry
Primary
4651
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13683-8
OREGON HEALTH PLAN
OR
Enumeration date
08/25/2005
Last updated
07/13/2026
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