Inna V Shimanovsky DMD

NPI 1003801069 - Dentist - 122300000X

NPI Details
NPI 1003801069
Gender Female
Enumeration Date 09/15/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
16640 SE MCLOUGHLIN BLVD
OAK GROVE OR, 97267-4810, US
Phone (503) 659-3003
Fax
Business Location
13217 SW ROCKINGHAM DR
TIGARD OR, 97223-1779, US
Phone (503) 521-1946
Fax
Toxanomy
Taxonomy Code 122300000X
License State Oregon
License Number D7792
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According to our database, Dr. Inna V Shimanovsky DMD NPI is 1003801069, taxonomy code is 122300000X and license number is D7792, license state is located at Oregon. Inna V Shimanovsky DMD physically located at 16640 Se Mcloughlin Blvd, Oak Grove OR, 97267-4810. NPI Number Inna V Shimanovsky DMD has the Individual type.

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1003801069 NPI number is provided on an as is basis without warranty of any kind. 1003801069 is maintained by the National Plan & Provider Enumeration System. The contents of Inna V Shimanovsky DMD are for informational purposes only.