Individual
DEMETRI ISAAC HOWERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
2266 MISSION ST SE, SALEM, OR 97302-1267
(503) 375-2000
Mailing address
2266 MISSION ST SE, SALEM, OR 97302-1267
(503) 375-2000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D11561
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/27/2017
Last updated
07/10/2023
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