Individual
DR. FAY A GYAPONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
833 SW 11TH AVE, SUITE 1015, PORTLAND, OR 97205
(503) 224-4688
(503) 224-5892
Mailing address
833 SW 11TH AVE, SUITE 1015, PORTLAND, OR 97205
(503) 224-4688
(503) 224-5892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6676
OR
Other
Enumeration date
08/14/2006
Last updated
08/03/2017
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