DR. Charles Richard Dtaley, DMD is a pediatric dentistry dentist in Beaverton, OR. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Charles Richard Dtaley, DMD NPI is 1750451555. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
14495 SW ALLEN BLVD
BEAVERTON, OR
ZIP 97005-427
Phone: (503) 526-0318
Fax: (503) 626-1054
The enumeration date for this NPI number is 11/9/2006 and was last updated on 7/8/2007.