Organization
GRESHAM DOWNTOWN DENTAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRENT MILES WESTOVER D.M.D. (DENTIST)
(503) 666-5484
Entity
Organization
Contact information
Practice address
320 NE 5TH ST, GRESHAM, OR 97030-7308
(503) 666-5484
(503) 661-1069
Mailing address
320 NE 5TH ST, GRESHAM, OR 97030-7308
(503) 666-5484
(503) 661-1069
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6868
OR
Other
Enumeration date
04/23/2008
Last updated
06/21/2018
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