Organization · Type 2 NPI

Michael C Royse, Dmd, LLC

Dental Clinic/Center · Portland, OR

NPI number 1063787166 Active

Practice location

511 SW 10th Ave, Suite #810
Portland, OR 97205-2732

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XD6613 (OR)

Dental Clinic/Center: Definition to come...

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About NPI 1063787166

Michael C Royse, Dmd, LLC's National Provider Identifier is 1063787166, issued on Mar 21, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Portland, OR. The record was last updated on Mar 21, 2012.