Individual
DR. INDERRAJ DHILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1740 W 17TH AVE, EUGENE, OR 97402-3619
(458) 210-3543
Mailing address
1740 W 17TH AVE # 105, EUGENE, OR 97402-3619
(458) 210-3543
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D008567
AZ
122300000X
Dentist
D11020
OR
1223G0001X
General Practice Dentistry
DGD.10935
SC
1223G0001X
General Practice Dentistry
DN123815
GA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D11020
OR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
G3-0000378
DE
Other
Enumeration date
08/04/2010
Last updated
06/30/2025
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