Individual
ALLISON MAE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 295-8059
Mailing address
1273 2ND AVE, GOLD HILL, OR 97525-9733
(541) 430-2315
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11333
OR
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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