Organization
JOHN H FRICK DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN H FRICK DMD DMD (PRESIDENT)
(503) 666-9436
Entity
Organization
Contact information
Practice address
2150 NE DIVISION ST, #210, GRESHAM, OR 97030-5813
(503) 666-9436
(503) 492-4387
Mailing address
2150 NE DIVISION ST, #210, GRESHAM, OR 97030-5813
(503) 666-9436
(503) 492-4387
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4622 P
OR
Other
Enumeration date
10/14/2005
Last updated
08/22/2020
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