Individual
DOUGLAS MATTHEW VETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 NE JACKSON, GRANTS PASS, OR 97526
(541) 476-7725
Mailing address
114 NE JACKSON, GRANTS PASS, OR 97526
(541) 476-7725
(541) 479-5950
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4786
OR
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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