Krikor Kevork Gazarian, D.M.D. Valid NPI

Individual provider · General Practice Dentistry · Salem, OR

NPI

1083099451

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

D10320 (OR)

Sex

Male

Sole proprietor

No

Enumerated

2015-07-27

Last updated

2019-12-15