NPI 1558577007

Eui Young Suk, DENTURIST

Practitioner Denturist Portland, OR

Practice location

Address: 9234 NE Glisan St, Portland, OR 97220-4532
Phone: (503) 254-4823
Fax: (503) 254-4823

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DTDO918828 (OR)

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Registry record

NPI: 1558577007
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.