Individual
DR. BRENT MICHAEL HIEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
2090 NE HIGHWAY 99W STE A, MCMINNVILLE, OR 97128-6261
(503) 883-7668
(503) 883-7669
Mailing address
2090 NE HIGHWAY 99W STE A, MCMINNVILLE, OR 97128-6261
(503) 883-7668
(503) 883-7669
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
59374
CA
1223E0200X
Endodontics
Primary
D10569
OR
Other
Enumeration date
07/16/2010
Last updated
04/04/2018
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