Individual
DR. JOSEPH S ELKHAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15925 SE STARK ST, PORTLAND, OR 97233-3525
(503) 253-0291
(503) 253-1096
Mailing address
15925 SE STARK ST, PORTLAND, OR 97233-3525
(503) 253-0291
(503) 253-1096
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6757
OR
Other
Enumeration date
08/25/2005
Last updated
07/08/2007
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