Organization
DANIEL J RIES, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL JAMES RIES DMD (DENTIST/OWNER)
(503) 665-8116
Entity
Organization
Contact information
Practice address
1201 SE 223RD AVE, SUITE 140, GRESHAM, OR 97030-2574
(503) 665-8116
Mailing address
1201 SE 223RD AVE, SUITE 140, GRESHAM, OR 97030-2574
(503) 665-8116
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6196
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386715910
NPI ENTITY TYPE 1 INDIVIDUAL
OR
Enumeration date
04/29/2008
Last updated
04/29/2008
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