Individual
DR. GARY V. DIXON
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
(503) 952-2125
(503) 952-2125
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(503) 952-2125
(503) 952-2125
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
64339
CA
122300000X
Dentist
D10222
OR
122300000X
Dentist
D1427
ID
122300000X
Dentist
DE60553642
WA
1223G0001X
General Practice Dentistry
Primary
820508017
ID
Other
Enumeration date
08/31/2006
Last updated
06/02/2015
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