Organization
JOHN M GALLUCCI DMD PC
Active
Other names
Cascade Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MATTHEW GALLUCCI D.M.D. (PRESIDENT)
(503) 657-7770
Entity
Organization
Contact information
Practice address
1017 MOLALLA AVE, SUITE 1, OREGON CITY, OR 97045-3772
(503) 657-7770
(503) 657-9832
Mailing address
1017 MOLALLA AVE, SUITE 1, OREGON CITY, OR 97045-3772
(503) 657-7770
(503) 657-9832
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9304
OR
Other
Enumeration date
08/25/2014
Last updated
09/30/2014
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