Individual
DR. DAVID HARRY ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16740 SE STARK ST, PORTLAND, OR 97233-4240
(503) 255-0440
(503) 255-5578
Mailing address
16740 SE STARK ST, PORTLAND, OR 97233-4240
(503) 255-0440
(503) 255-5578
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4910
OR
Other
Enumeration date
07/08/2005
Last updated
07/08/2007
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