Individual
DR. THERON NEBEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1057 TAURUS LOOP NE, KEIZER, OR 97303-3380
(503) 504-0954
Mailing address
1057 TAURUS LOOP NE, KEIZER, OR 97303-3380
(503) 504-0954
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10110
OR
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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