Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | D4624 | OR |
NPI | 1497912240 |
---|---|
Provider Name | Dennis Bruce Getch |
First Address | Oregon City, OR 97045-4076 |
Second Address | Oregon City, OR 97045-4076 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2008 |
Last Update Date | 20/05/2008 |