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Organization

BRETT A. UEECK DMD, MD, PC

Active
Parent organization
BRETT A. UEECK DMD, MD, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
BRETT A. UEECK DMD, MD, PC
Authorized official
DR. BRETT ALLEN UEECK MD, DMD (PRESIDENT)
(503) 924-2323
Entity
Organization

Contact information

Practice address
11786 SW BARNES RD STE 110, PORTLAND, OR 97225-5926
(503) 924-2323
(503) 601-0569
Mailing address
11786 SW BARNES RD STE 110, PORTLAND, OR 97225-5926
(503) 924-2323
(503) 601-0569

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MD25889
OR

Other

Enumeration date
03/19/2012
Last updated
03/19/2012
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