Individual
DR. DALLAS MICHAEL GERRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1600 SW CEDAR HILLS BLVD, SUITE 107, PORTLAND, OR 97225-5439
(503) 643-7502
Mailing address
1600 SW CEDAR HILLS BLVD, SUITE 107, PORTLAND, OR 97225-5439
(503) 643-7502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10088
OR
Other
Enumeration date
07/23/2014
Last updated
12/06/2016
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