Individual
DR. PAUL WAYNE LAMOREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
200 NE TERRY LN UNIT D, GRANTS PASS, OR 97526-4805
(541) 237-8087
Mailing address
200 NE TERRY LN UNIT D, GRANTS PASS, OR 97526-4805
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11079
OR
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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