Individual
DR. RICHARD MOE PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
225 W OREGON AVE, CRESWELL, OR 97426
(541) 895-4985
(541) 895-2529
Mailing address
PO BOX 458, 225 W OREGON AVE, CRESWELL, OR 97426-0458
(541) 895-4985
(541) 895-2529
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5084
OR
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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