Most Relevant Information
Provider Data
| NPI Number: | 1003032483 |
| Provider Name: | MARK O SHOGER DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223X0400X |
| Specialty: | Dentist |
| License Number: | D6564 |
Most Important Dates
| Enumeration Date: | 04/17/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
14780 SW OSPREY DR
SUITE 345
BEAVERTON
OR
970078028
Practice Location Phone/Fax
| Phone: | 5035792495 |
| Fax: |
Provider Mailing Location
14780 SW OSPREY DR
SUITE 345
BEAVERTON
OR
970078028
Provider Mailing Phone/Fax
| Phone: | 5035792495 |
| Fax: |