Individual
JOSEPH MAX PELZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2075 SW FIRST AVE, STE. 2M, PORTLAND, OR 97201-5314
(503) 226-6659
Mailing address
6473 SE NORMA CIR, MILWAUKIE, OR 97267-5183
(503) 659-9031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4764
OR
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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