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Individual

JAMES L. GARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1105 SE JETTY AVE, B, LINCOLN CITY, OR 97367-2632
(541) 994-3528
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(855) 433-6825

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23929
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
FHC03906F
CA
Enumeration date
09/28/2006
Last updated
05/29/2015
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