Individual
JEDIDIAH R GASS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD, PC
Contact information
Practice address
992 COUNTRY CLUB RD, STE 102, EUGENE, OR 97401-6023
(541) 687-1161
(541) 344-9188
Mailing address
992 COUNTRY CLUB RD, STE 102, EUGENE, OR 97401-6023
(541) 687-1161
(541) 344-9188
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D7866
OR
Other
Enumeration date
06/23/2005
Last updated
07/08/2007
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