Individual
DR. TESS REBECKA GLADSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4817 RIVER RD N, KEIZER, OR 97303
(503) 874-4560
Mailing address
4817 RIVER RD N, KEIZER, OR 97303-4537
(503) 874-4560
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D10790
OR
Other
Enumeration date
05/28/2015
Last updated
09/07/2018
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