Individual
DR. CHRISTOPHER RYAN OPDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2110 9TH ST STE B, TILLAMOOK, OR 97141-3950
(503) 842-7700
Mailing address
1700 SUNDOWN DR, TILLAMOOK, OR 97141-9832
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9427
OR
Other
Enumeration date
05/20/2010
Last updated
05/21/2010
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