Individual
DR. AMY ROBERTS WARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2177 NW 2ND ST, MCMINNVILLE, OR 97128-9108
(503) 472-2125
(503) 472-0142
Mailing address
2177 NW 2ND ST, MCMINNVILLE, OR 97128-9108
(503) 472-2125
(503) 472-0142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7632
OR
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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