Individual
DR. DIANNE APPLEGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2520 E BURNSIDE ST, PORTLAND, OR 97214-1754
(503) 233-3622
(503) 233-5882
Mailing address
2520 E BURNSIDE ST, PORTLAND, OR 97214-1754
(503) 233-3622
(503) 233-5882
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8502
CA
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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