Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 4973 | OR |
NPI | 1104948579 |
---|---|
Provider Name | Norman Dean Saager |
First Address | College Place, WA 99324-1149 |
Second Address | Milton Freewater, OR 97862-1315 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 08/07/2007 |