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Individual

DR. DANIEL EDGAR GIPE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
5035 SW 77TH AVE, PORTLAND, OR 97225-1812
(503) 297-2389
(503) 297-6204
Mailing address
5035 SW 77TH AVE, PORTLAND, OR 97225-1812
(503) 297-2389
(503) 297-6204

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6325
OR

Other

Enumeration date
04/07/2006
Last updated
07/08/2007
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