Individual
DR. JOHN NEIL DELLA CROCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
8070 SW HALL BLVD STE 200, BEAVERTON, OR 97008-6419
(503) 644-1110
Mailing address
8070 SW HALL BLVD STE 200, BEAVERTON, OR 97008-6419
(503) 644-1110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10465
OR
1223G0001X
General Practice Dentistry
DS038468
PA
Other
Enumeration date
09/27/2010
Last updated
07/21/2022
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