Individual
JEREMY HUTTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 BEAVERCREEK RD, OREGON CITY, OR 97045-4307
(503) 655-8471
Mailing address
4520 PROMENADE LN, SYLVANIA, OH 43560-2984
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10734
OR
1223G0001X
General Practice Dentistry
DS039288
PA
Other
Enumeration date
08/14/2012
Last updated
03/17/2018
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