Individual
DR. THOMAS DUANE OVER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2721 NE 57TH AVE, PORTLAND, OR 97213-3415
(503) 282-0926
(503) 282-0930
Mailing address
2721 NE 57TH AVE, PORTLAND, OR 97213-3415
(503) 282-0926
(503) 282-0930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5780
OR
Other
Enumeration date
08/03/2005
Last updated
07/08/2007
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