Individual
MICHAEL C. DUVAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2640 FRONTAGE RD, REEDSPORT, OR 97467-1813
(541) 271-4858
(541) 271-4859
Mailing address
2640 FRONTAGE RD, REEDSPORT, OR 97467-1813
(541) 271-4858
(541) 271-4859
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D05541
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078758
—
OR
Enumeration date
07/13/2005
Last updated
07/09/2007
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