Individual
OSWALDO GONZALEZ CANTARERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.D.
Contact information
Practice address
2300 LANCASTER DR NE, SALEM, OR 97305-1223
(503) 370-4313
(503) 375-5737
Mailing address
2300 LANCASTER DR NE, SALEM, OR 97305-1223
(503) 370-4313
(503) 375-5737
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-10122043
OR
Other
Enumeration date
02/14/2008
Last updated
03/05/2010
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