Individual
MR. DAVID R CHIOVELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D,L.D.
Contact information
Practice address
16130 SE 82ND DRIVE, CLACKAMAS, OR 97015
(503) 657-6500
(503) 557-0412
Mailing address
16130 SE 82ND DRIVE, CLACKAMAS, OR 97015
(503) 657-6500
(503) 557-0412
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
DN 00000379
WA
122400000X
Denturist
Primary
DTDO838758
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT-DO838758
DENTURIST BOARD OF H
OR
Enumeration date
02/07/2007
Last updated
06/29/2010
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