| David H Gisborne, DMD, PC | |
|
146 Sw 2nd Ave Canby OR 97013-4152 | |
| (503) 266-5596 | |
| (503) 263-1637 |
| Full Name | David H Gisborne, DMD, PC |
|---|---|
| Speciality | Dentist |
| Location | 146 Sw 2nd Ave, Canby, Oregon |
| Authorized Official Name and Position | David H Gisborne (OWNER) |
| Authorized Official Contact | 5032665596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David H Gisborne, DMD, PC 146 Sw 2nd Ave Canby OR 97013-4152 Ph: (503) 266-5596 | David H Gisborne, DMD, PC 146 Sw 2nd Ave Canby OR 97013-4152 Ph: (503) 266-5596 |
| NPI Number | 1023128055 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023128055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D6131 (Oregon) | Primary |
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