Individual
DR. BENNY DAMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
36840 INDUSTRIAL WAY, SANDY, OR 97055-9254
(503) 668-8301
Mailing address
11846 SE 32ND AVE, PORTLAND, OR 97222-6806
(503) 998-4872
(503) 494-6624
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9001
OR
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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