Individual
DR. RANDALL J MONNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
915 NE 2ND ST, GRESHAM, OR 97030-7512
(503) 665-8283
(503) 669-7263
Mailing address
915 NE 2ND ST, GRESHAM, OR 97030-7512
(503) 665-8283
(503) 669-7263
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6237
OR
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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