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Individual

DR. CHERYL L O'MALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
6902 SE LAKE RD, WILLAMETTE DENTAL GROUP, PORTLAND, OR 97267
(800) 461-8994
(360) 750-9789
Mailing address
6902 SE LAKE RD, WILLAMETTE DENTAL GROUP, PORTLAND, OR 97267
(800) 461-8994
(360) 750-9789

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D6871
NE
1223G0001X
General Practice Dentistry
Primary
D9380
OR
1223G0001X
General Practice Dentistry
DE60226390
WA

Other

Enumeration date
03/03/2010
Last updated
10/28/2013
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