Individual
JOVAN M GVOZDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10535 NE GLISAN ST, PORTLAND, OR 97220-4077
(503) 444-8181
Mailing address
14201 NE 20TH AVE STE 2204, VANCOUVER, WA 98686-6413
(360) 571-8181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8856
OR
Other
Enumeration date
04/06/2006
Last updated
12/30/2014
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