Individual
DR. GRANT ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16144 SE HAPPY VALLEY TOWN CENTER DR, CLACKAMAS, OR 97086-4257
(503) 667-2400
Mailing address
17130 SE STONEYBROOK CT, CLACKAMAS, OR 97015-7765
(503) 807-5580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11680
OR
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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