Individual
JOSHUA D WESTPHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1291 E MCANDREWS RD, MEDFORD, OR 97504
(541) 916-8484
Mailing address
1291 E MCANDREWS RD, MEDFORD, OR 97504-6103
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS040182
PA
1223P0221X
Pediatric Dentistry
Primary
D10750
OR
Other
Enumeration date
04/16/2014
Last updated
09/04/2019
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