| Mayerle Dental Pc | |
|
14800 Kruse Oaks Blvd Lake Oswego OR 97035-8671 | |
| (503) 684-2944 | |
| Not Available |
| Full Name | Mayerle Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 14800 Kruse Oaks Blvd, Lake Oswego, Oregon |
| Authorized Official Name and Position | Brad Mayerle (PRESIDENT) |
| Authorized Official Contact | 5036842944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayerle Dental Pc 14800 Kruse Oaks Blvd Lake Oswego OR 97035-8671 Ph: (503) 684-2944 | Mayerle Dental Pc 14800 Kruse Oaks Blvd Lake Oswego OR 97035-8671 Ph: (503) 684-2944 |
| NPI Number | 1912313610 |
|---|---|
| Provider Enumeration Date | 07/02/2014 |
| Last Update Date | 07/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912313610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D6896 (Oregon) | Primary |
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