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Individual

DR. WILLIAM FOREST RUNCKEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2025 SE WAHINGTON ST., MILWAUKIE, OR 97222
(503) 317-1809
Mailing address
2025 SE WAHINGTON ST., MILWAUKIE, OR 97222
(503) 317-1809

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9509
OR

Other

Enumeration date
10/29/2010
Last updated
10/29/2010
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