Individual
DR. PHILIP J. BALES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
855 EXCHANGE ST, ASTORIA, OR 97103-4627
(503) 325-3230
(503) 325-3230
Mailing address
855 EXCHANGE ST, ASTORIA, OR 97103-4627
(503) 325-3230
(503) 325-3230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6058
OR
Other
Enumeration date
07/13/2005
Last updated
07/08/2007
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