Individual
MICHAEL CARREON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1332 SW HIGHLAND AVE, REDMOND, OR 97756-2640
(541) 504-3322
Mailing address
1550 NW KINGWOOD AVE, REDMOND, OR 97756-7752
(541) 419-4194
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11319
OR
Other
Enumeration date
08/31/2020
Last updated
09/14/2020
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