Individual
DR. CLARENCE J ZACK-CADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7130 SW CANYON RD, PORTLAND, OR 97225-3225
(503) 309-5028
Mailing address
7130 SW CANYON RD, PORTLAND, OR 97225-3225
(503) 309-5028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12052
OR
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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