Individual
DR. JAY GRONEMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1553 NW CANAL BLVD STE 101, REDMOND, OR 97756-1341
(541) 923-2880
(541) 923-2881
Mailing address
1553 NW CANAL BLVD STE 101, REDMOND, OR 97756-1341
(541) 923-2880
(541) 923-2881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8847
OR
Other
Enumeration date
03/16/2007
Last updated
06/11/2013
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