Organization
THE DENTURE STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD FARRIS (DENTURIST)
(503) 666-1698
Entity
Organization
Contact information
Practice address
21511 SE STARK ST, GRESHAM, OR 97030-2025
(503) 666-1698
Mailing address
21511 SE STARK ST, GRESHAM, OR 97030-2025
(503) 666-1698
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
—
—
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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