Organization
GD GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALETA BEUTER (CREDENTIALING MANAGER)
(775) 409-4614
Entity
Organization
Contact information
Practice address
315 NW BURNSIDE RD, GRESHAM, OR 97030-3851
(503) 666-5484
Mailing address
3605 GRANT DR, RENO, NV 89509-5301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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