Individual
SAYIJ MAKKATTIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDS, MDS
Contact information
Practice address
620 12TH ST SE, SALEM, OR 97301-4001
(503) 991-5921
Mailing address
620 12TH STREET SE, SALEM, OR 97301
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D10169
OR
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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