Individual
DR. GERALD ROSS EGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
834 SW 11TH ST, REDMOND, OR 97756-2633
(541) 504-0880
Mailing address
834 SW 11TH ST, REDMOND, OR 97756-2633
(541) 504-0880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8422
OR
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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