Most Relevant Information
Provider Data
| NPI Number: | 1003813312 |
| Provider Name: | ULRICH GUENTER SCHOCKELT DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | D5558 |
Most Important Dates
| Enumeration Date: | 06/30/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
4150 PACIFIC AVE
SUITE 200
FOREST GROVE
OR
971162276
Practice Location Phone/Fax
| Phone: | 5033573121 |
| Fax: |
Provider Mailing Location
4150 PACIFIC AVE
SUITE 200
FOREST GROVE
OR
971162276
Provider Mailing Phone/Fax
| Phone: | 5033573121 |
| Fax: |