Organization
BRETT L DABY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT L DABY (PRESIDENT)
(503) 539-1269
Entity
Organization
Contact information
Practice address
4433 NE TILLAMOOK ST, PORTLAND, OR 97213-1317
(503) 539-1269
Mailing address
4246 NE WYGANT ST, PORTLAND, OR 97218-1642
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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