Individual
DR. THOMAS JACOB FLATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2075 SW 1ST AVE STE 2K, PORTLAND, OR 97201-5314
(503) 222-3591
(503) 222-4496
Mailing address
2075 SW 1ST AVE STE 2K, PORTLAND, OR 97201-5314
(503) 222-3591
(503) 222-4496
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8276
OR
1223G0001X
General Practice Dentistry
D9716
WA
Other
Enumeration date
03/29/2007
Last updated
06/27/2019
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