Individual
DR. SCOTT B BODYFELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11765 SW GREENBURG ROAD, TIGARD, OR 97223
(503) 639-3441
Mailing address
11765 SW GREENBURG ROAD, TIGARD, OR 97223
(503) 639-3441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7470
OR
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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