Organization
GNWS INC
Active
Other names
Great North West Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN UNSICKER (OWNER)
(503) 981-4001
Entity
Organization
Contact information
Practice address
30775 SW BOONES FERRY RD STE E, WILSONVILLE, OR 97070-7822
(503) 981-4001
Mailing address
30775 SW BOONES FERRY RD STE E, WILSONVILLE, OR 97070-7822
(503) 981-4001
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-10130778
OR
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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