Organization
MARIAN DE STOPPELAAR DMD PC
Active
Other names
Marian L Pattison
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN L DE STOPPELAAR DMD (PRES OF PC DENTIST)
(503) 786-6895
Entity
Organization
Contact information
Practice address
2305 S E WASHINGTON ST, STE 103, MILWAUKIE, OR 97222-7647
(503) 786-6895
Mailing address
2305 S E WASHINGTON ST, STE 103, MILWAUKIE, OR 97222-7647
(503) 786-6895
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2967
OR
Other
Enumeration date
09/30/2005
Last updated
08/22/2020
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