Organization
OREGON MOBILE DENTISTRY, P.C.
Active
Other names
Oregon Mobile Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY A WILLIAMS DMD (CHIEF EXECUTIVE/DENTIST)
(503) 616-5000
Entity
Organization
Contact information
Practice address
11820 SW KING JAMES PL STE 10J, TIGARD, OR 97224-2481
(503) 616-5000
Mailing address
11820 SW KING JAMES PL STE 10J, TIGARD, OR 97224-2481
(503) 616-5000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1223G0001X
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080858
—
OR
Enumeration date
01/29/2014
Last updated
01/29/2014
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