Organization
NEVILLS FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EUGENE NEVILLS DMD (PRESIDENT)
(503) 649-3232
Entity
Organization
Contact information
Practice address
18540 SW VINCENT ST, ALOHA, OR 97078-1578
(503) 649-3232
(503) 649-0362
Mailing address
18540 SW VINCENT ST, ALOHA, OR 97078-1578
(503) 649-3232
(503) 649-0362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6095
OR
Other
Enumeration date
12/06/2012
Last updated
09/18/2014
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