Individual
SIMON TOADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1436 MOLALLA AVE, OREGON CITY, OR 97045-4004
(503) 722-1100
Mailing address
1436 MOLALLA AVE, OREGON CITY, OR 97045-4004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10338
OR
1223G0001X
General Practice Dentistry
DE60402384
WA
Other
Enumeration date
08/16/2013
Last updated
10/14/2015
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