Individual
DR. TED RODICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22400 S SALAMO RD, SUITE: 205, WEST LINN, OR 97068-8269
(503) 657-8787
(503) 657-5522
Mailing address
22400 S SALAMO RD, SUITE: 205, WEST LINN, OR 97068-8269
(503) 657-8787
(503) 657-5522
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D7884
OR
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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