Organization
DEAN B PETTERSON DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN PETTERSON DMD (OWNER)
(503) 667-1001
Entity
Organization
Contact information
Practice address
121 NW 1ST ST, GRESHAM, OR 97030-7215
(503) 667-1001
(503) 663-3500
Mailing address
121 NW 1ST ST, GRESHAM, OR 97030-7215
(503) 667-1001
(503) 663-3500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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