Individual
ANNA NICOLE GERLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1915 NE BAKER ST, MCMINNVILLE, OR 97128-2601
(503) 472-7121
Mailing address
10500 SW BANNOCH CT, TUALATIN, OR 97062-8400
(503) 319-0541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11212
OR
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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