Individual
DR. FADI B IBSIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
18750 WILLAMETTE DR, SUITE B-2, WEST LINN, OR 97068-1700
(503) 607-2222
Mailing address
11110 SW TONY CT, TIGARD, OR 97223-3509
(503) 607-2223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8695
OR
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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