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Individual

DR. JOSHUA COLT SWEETEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
286 SW 4TH ST, ONTARIO, OR 97914-2610
(541) 889-7050
Mailing address
286 SW 4TH ST, ONTARIO, OR 97914-2610
(208) 351-3511

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D-4742
ID
122300000X
Dentist
DEN-DEN-LIC-7782
MT
1223G0001X
General Practice Dentistry
Primary
D10988
OR

Other

Enumeration date
06/09/2014
Last updated
08/29/2019
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