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RAYMOND SHIGEUKI ONCHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
35 NE KELLY AVE, GRESHAM, OR 97030-7539
(503) 667-3737
(503) 667-4126
Mailing address
PO BOX 158, GRESHAM, OR 97030-0024
(503) 665-3321
(503) 667-4126

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5082
OR

Other

Enumeration date
11/13/2006
Last updated
07/08/2007
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