Individual
DR. RUBEN ISAIAS ALCAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4925 SW GRIFFITH DR, BEAVERTON, OR 97005-2923
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D9991
OR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DTP582
FL
Other
Enumeration date
12/04/2012
Last updated
07/03/2024
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