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Individual

DR. DAVID M. TEETER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD, MSD

Contact information

Practice address
10102 NE GLISAN ST, PORTLAND, OR 97220-4456
(503) 257-5959
Mailing address
11172 SE CEDAR WAY, PORTLAND, OR 97236-6291
(503) 698-3753

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
37066
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D6368
OR

Other

Enumeration date
05/04/2006
Last updated
07/08/2007
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