Individual
DR. DAN EVERETT THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
17704 JEAN WAY, SUITE 105, LAKE OSWEGO, OR 97035-5497
(503) 675-6776
Mailing address
17704 JEAN WAY, SUITE 105, LAKE OSWEGO, OR 97035-5497
(503) 675-6776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6987
OR
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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