Individual
DR. REX HOMER ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2650 WASHBURN WAY, UNIT 210, KLAMATH FALLS, OR 97603-4596
(541) 882-4461
(541) 882-7187
Mailing address
2650 WASHBURN WAY UNIT 210, KLAMATH FALLS, OR 97603-4593
(541) 882-4461
(541) 882-7187
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4516
OR
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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