Individual
DR. BENJAMIN PATRICK DE GRAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
7471 SW BARBUR BLVD, PORTLAND, OR 97219-2809
(503) 246-8447
Mailing address
7471 SW BARBUR BLVD, PORTLAND, OR 97219-2809
(503) 246-8447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9477
OR
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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