Individual
DR. GREGORY P DELGADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10115 SW NIMBUS AVE, SUITE 350, TIGARD, OR 97223-4349
(503) 684-7868
Mailing address
1101 SE TECH CENTER DR, SUITE 195, VANCOUVER, WA 98683-5504
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D8390
OR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE 00010267
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
GA10000414
WA
Other
Enumeration date
04/04/2007
Last updated
08/10/2015
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