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Individual

DR. MIKE L MONROE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD PC

Contact information

Practice address
3835 SW 185TH AVE STE 400, ALOHA, OR 97007-1553
(503) 642-2540
(503) 591-9846
Mailing address
1133 NW 11TH AVE APT 709, PORTLAND, OR 97209-3089

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4535
OR

Other

Enumeration date
12/13/2006
Last updated
01/11/2010
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