Organization
MAYERLE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD A MAYERLE DMD (PRESIDENT OWNER)
(503) 684-2944
Entity
Organization
Contact information
Practice address
14800 KRUSE OAKS DR, STE A, LAKE OSWEGO, OR 97035
(503) 684-2944
(503) 624-6335
Mailing address
14800 KRUSE OAKS DR, STE A, LAKE OSWEGO, OR 97035
(503) 684-2944
(503) 624-6335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/27/2006
Last updated
08/22/2020
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