Individual
RONALD D FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDM, LD
Contact information
Practice address
21511 SE STARK ST, GRESHAM, OR 97030-2025
(503) 666-1698
(503) 666-7734
Mailing address
21511 SE STARK ST, GRESHAM, OR 97030-2025
(503) 666-1698
(503) 666-7734
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-605320
OR
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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