Individual
DR. DAVID DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1113 PROGRESS DR, MEDFORD, OR 97504-5201
(541) 512-3900
(541) 414-1175
Mailing address
3616 S PACIFIC HWY, MEDFORD, OR 97501-8912
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5950
OR
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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