Lyudmila Batazhan RDH

NPI 1770988305 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1770988305
Gender Female
Enumeration Date 10/24/2014
Last Updated 10/24/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1151 SE 139TH AVE
PORTLAND OR, 97233-1961, US
Phone (503) 780-9849
Fax
Business Location
1151 SE 139TH AVE
PORTLAND OR, 97233-1961, US
Phone
Fax
Toxanomy
Taxonomy Code 124Q00000X
License State Oregon
License Number H6745
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According to our database, Lyudmila Batazhan RDH NPI is 1770988305, taxonomy code is 124Q00000X and license number is H6745, license state is located at Oregon. Lyudmila Batazhan RDH physically located at 1151 Se 139th Ave, Portland OR, 97233-1961. NPI Number Lyudmila Batazhan RDH has the Individual type.

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1770988305 NPI number is provided on an as is basis without warranty of any kind. 1770988305 is maintained by the National Plan & Provider Enumeration System. The contents of Lyudmila Batazhan RDH are for informational purposes only.