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Individual

DR. E. ERIC WEBSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
9605 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-2236
(503) 879-5089
Mailing address
PO BOX 338, GRAND RONDE, OR 97347-0338
(503) 879-2236
(503) 879-5089

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7139
OR

Other

Enumeration date
02/15/2007
Last updated
07/08/2007
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