Organization
DIANNE D APPLEGATE DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE D APPLEGATE DDS (OWNER)
(503) 775-9500
Entity
Organization
Contact information
Practice address
4840 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97202-4017
(503) 775-9500
(503) 775-4026
Mailing address
4840 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97202-4017
(503) 775-9500
(503) 775-4026
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8502
OR
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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