Individual
WILLIAM MARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2520 E BURNSIDE ST, PORTLAND, OR 97214-1754
(503) 233-3622
Mailing address
4980 SW LANDING DR APT 302, PORTLAND, OR 97239-5967
(412) 855-1107
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10073
OR
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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