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Organization

GLEN S GERDES DMD PC

Active
Other names
Corvallis Endodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GLEN S GERDES D.M.D, P.C (OWNER)
(541) 758-0888
Entity
Organization

Contact information

Practice address
1811 NW KINGS BLVD, CORVALLIS, OR 97330-1907
(541) 758-0888
(541) 754-6628
Mailing address
1811 NW KINGS BLVD, CORVALLIS, OR 97330-1907
(541) 758-0888
(541) 754-6628

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D6324
OR

Other

Enumeration date
04/18/2007
Last updated
06/12/2008
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