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Individual

DR. ROY FRANKLIN DORNSIFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
8625 SW CASCADE AVE, SUITE 105, BEAVERTON, OR 97008
(503) 643-8848
(503) 350-1974
Mailing address
8625 SW CASCADE AVE, SUITE 105, BEAVERTON, OR 97008
(503) 643-8848
(503) 350-1974

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D7124
OR

Other

Enumeration date
05/30/2007
Last updated
07/08/2007
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