Individual
ANTHONY MICHAEL SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1700 E 12TH ST, THE DALLES, OR 97058
(541) 298-4403
(541) 298-4403
Mailing address
1700 E 12TH ST, THE DALLES, OR 97058
(541) 298-4403
(541) 298-4469
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7248
OR
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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