Individual
BRETT DABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, P3 DENT, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
6600 NE SANDY BLVD, PORTLAND, OR 97213-5250
(503) 284-4723
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9416
OR
Other
Enumeration date
07/06/2009
Last updated
08/31/2020
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