Individual
DR. MARC T. IWAHIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4600 RIVER RD N, KEIZER, OR 97303-4648
(503) 393-2264
(503) 393-2324
Mailing address
4600 RIVER RD N, KEIZER, OR 97303-4648
(503) 393-2264
(503) 393-2324
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7121
OR
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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