Cody Bywaters, LICENSED DENTURIST
NPI 1407100233 · on the registry since 2012 · sole proprietor
Practice
- Address
- 3900 Douglas Way
Lake Oswego, OR 97035 - Phone
- (503) 635-8060
- Fax
- (503) 305-8679
- Organisation at this address
- Wikle Dentistry Llc
Carly K Christoferson Dmd PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Denturist
122400000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-10-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon