Individual
DR. JOSEPH WILLIAM RESTIC
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9475 SW WILSONVILLE RD, WILSONVILLE, OR 97070-7522
(503) 682-6984
Mailing address
4350 LAKEVIEW BLVD, LAKE OSWEGO, OR 97035-5555
(503) 675-1398
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D6489
OR
Other
Enumeration date
09/05/2005
Last updated
07/08/2007
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