Organization
JO ELLEN WINSTON, DMD
Active
Other names
Winston Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE JOY WALDECK (BUSINESS MANAGER)
(503) 659-1055
Entity
Organization
Contact information
Practice address
3016 SE COURTNEY RD, MILWAUKIE, OR 97222-7104
(503) 659-1055
(503) 702-5951
Mailing address
3016 SE COURTNEY RD, MILWAUKIE, OR 97222-7104
(503) 659-1055
(503) 702-5951
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8598
OR
Other
Enumeration date
12/20/2006
Last updated
08/22/2020
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