Mr. Cody Merril Bywaters, LICENSEDDENTURIST
Mr. Cody Merril Bywaters, LICENSEDDENTURIST is a Denturist in Lake Oswego, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2012
Practice location Address checks out
3900 Douglas WayLake Oswego, OR 97035-3446
Phone: (503) 635-8060
Fax: (503) 305-8679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Denturist (primary) | Taxonomy 122400000X · Licence DTDO10126042 (OR) |
|---|
Record details
| NPI number | 1407100233 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LICENSEDDENTURIST |
| Sole proprietor | Yes |
| NPI enumerated | October 31, 2012 |
| Last updated in NPPES | October 31, 2012 |