Individual
GERHARD GOORHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2731 FRONTAGE RD, REEDSPORT, OR 97467-1814
(541) 271-2408
Mailing address
2731 FRONTAGE RD, REEDSPORT, OR 97467-1814
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5901
OR
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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