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Organization

NORTHWEST ORAL & MAXILLOFACIAL SURGEONS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HENRY C. WINDELL DMD (PARTNER)
(503) 665-7882
Entity
Organization

Contact information

Practice address
24850 SE STARK ST, SUITE 100, GRESHAM, OR 97030-8316
(503) 665-7882
(503) 665-6983
Mailing address
24850 SE STARK ST, SUITE 100, GRESHAM, OR 97030-8316
(503) 665-7882
(503) 665-6983

Taxonomy

Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
D4283
OR

Other

Enumeration date
05/18/2007
Last updated
08/22/2020
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