Individual
DR. CORNELIUS JEROME GEHRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2010 BOTULPH RD, SANTA FE, NM 87505
(505) 983-1312
(505) 983-8170
Mailing address
10340 SE DIVISION ST STE 3, PORTLAND, OR 97266-1269
(503) 256-3199
(503) 256-9383
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9242
OR
Other
Enumeration date
02/08/2007
Last updated
04/23/2009
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