Individual
DR. BRIAN CHARLES BOMBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1160 SW BOOTH BEND RD, MCMINNVILLE, OR 97128-9726
(503) 474-1007
(503) 883-7773
Mailing address
1160 SW BOOTH BEND RD, MCMINNVILLE, OR 97128-9726
(503) 474-1007
(503) 883-7773
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8459
OR
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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