Organization
JOVAN M GVOZDEN DMD MASTER DENTAL CORP
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
JOVAN M GVOZDEN DMD (GENERAL DENTIST)
(503) 853-5284
Entity
Organization
Contact information
Practice address
12661 SE POWELL BLVD, PORTLAND, OR 97236-3400
(503) 853-5284
Mailing address
1441 NW SLOCUM WAY, PORTLAND, OR 97229-9139
(503) 853-5284
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
D8856
OR
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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