Charles Richard Dtaley is a Pediatric Dentist based in Hillsboro, OR and is specialized in Pediatric Dentistry. Charles Richard Dtaley practices in Beaverton, OR and has the professional credentials of DMD. The NPI Number for Charles Richard Dtaley is 1750451555 and holds a License No. 4879 (Oregon).
The current practice location address for Charles Richard Dtaley is 14495 Sw Allen Blvd, Beaverton, OR and can be reached out via phone at 503-526-0318 and via fax at 503-626-1054. You can also correspond with Charles Richard Dtaley through the mailing address at 6950 NE CAMPUS WAY, HILLSBORO, OR - 97124-5611 (mailing address contact number: 503-952-2164).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6783 | 01 | OR | OREGON HEALTH PLAN |
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