Individual
GEORGE FRED DAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
831 LANCASTER DR NE, SUITE #2, SALEM, OR 97301-2676
(503) 362-8359
(503) 362-8351
Mailing address
831 LANCASTER DR NE, SUITE #2, SALEM, OR 97301-2676
(503) 362-8359
(503) 362-8351
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4511
OR
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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