Individual
DR. DANIEL M. YAILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.D.
Contact information
Practice address
742 NW MURRAY BLVD, PORTLAND, OR 97229-5870
(503) 641-9100
(503) 641-9329
Mailing address
742 NW MURRAY BLVD, PORTLAND, OR 97229-5870
(503) 641-9100
(503) 641-9329
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5306
OR
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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