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Individual

DR. ADAM J DIESBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1927 NE BAKER ST, MCMINNVILLE, OR 97128-2601
(503) 472-2222
Mailing address
1927 NE BAKER ST, MCMINNVILLE, OR 97128-2601
(503) 472-2222

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9125
OR

Other

Enumeration date
12/03/2008
Last updated
01/02/2012
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