Individual
DR. RICHARD E MOUNCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
244 E ELLENDALE AVE STE 4, DALLAS, OR 97338-1523
(503) 400-6994
Mailing address
PO BOX 467, NESKOWIN, OR 97149-0467
(605) 786-4141
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
119150
AK
1223E0200X
Endodontics
D0906
SD
1223E0200X
Endodontics
Primary
D10778
OR
Other
Enumeration date
07/29/2005
Last updated
03/29/2018
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