Organization
SUBLIMITY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY J GRIES D.M.D. (DENTIST/OWNER)
(503) 769-5611
Entity
Organization
Contact information
Practice address
231 NW STARR ST, SUBLIMITY, OR 97385-9827
(503) 769-5611
Mailing address
231 NW STARR ST, SUBLIMITY, OR 97385-9827
(503) 769-5611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6698
OR
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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