Individual
DR. DALE LOUIS MCNUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1683 W HARVARD AVE, ROSEBURG, OR 97471-2812
(541) 378-4141
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10715
OR
Other
Enumeration date
08/09/2017
Last updated
07/16/2019
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