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Individual

DR. GREGORY ALAN NEMCHICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1905 MOUNTAIN VIEW LN, #250, FOREST GROVE, OR 97116
(503) 357-3098
(503) 359-5448
Mailing address
1905 MOUNTAIN VIEW LN, #250, FOREST GROVE, OR 97116
(503) 357-3098
(503) 359-5448

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4964
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
137737
OR
01
584447
UNITED CONCORDIA
Enumeration date
10/19/2006
Last updated
07/08/2007
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