Individual
DR. JOHN RODERICK CHESSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15405 SW 116TH AVE, #208, KING CITY, OR 97224-4101
(503) 684-0507
(503) 684-0507
Mailing address
15405 SW 116TH AVE, #208, KING CITY, OR 97224-4101
(503) 684-0507
(503) 684-0507
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
OREGON 5771
OR
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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