Individual
GREGORY REED MANN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
400 SW BELAIR DRIVE, CLATSKANIE, OR 97016
(503) 728-2114
Mailing address
253 SOUTH STREET, ASTORIA, OR 97103
(503) 325-4954
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6184
OR
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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