Individual
CHARLES DANIEL KNECHTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2365 NW STEWART PKWY, ROSEBURG, OR 97471-5653
(503) 952-2125
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(503) 952-2125
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10374
OR
122300000X
Dentist
DE60501263
WA
Other
Enumeration date
07/16/2014
Last updated
11/18/2015
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