Most Relevant Information
Provider Data
| NPI Number: | 1003200122 |
| Provider Name: | MICHAEL J DIENBERG D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | D10861 |
Most Important Dates
| Enumeration Date: | 03/26/2015 |
| Last Updated: | 08/29/2024 |
Provider Practice Location
1029 MAY ST
HOOD RIVER
OR
970311514
Practice Location Phone/Fax
| Phone: | 5095930109 |
| Fax: |
Provider Mailing Location
3181 SW SAM JACKSON PARK RD
PORTLAND
OR
972393011
Provider Mailing Phone/Fax
| Phone: | 5034948916 |
| Fax: | 5034940294 |