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1093570400
DORA LUZ SANDOVAL
SALEM, OR
NPI
1093570400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H4303)
Enumeration Date
2024-02-14
Last Update Date
2024-02-14
Business Address
DORA LUZ SANDOVAL EPDH
610 HAWTHORNE AVE SE STE 200
SALEM, OR 97301-5378
Phone number: 800-525-6800
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Mailing Address
DORA LUZ SANDOVAL EPDH
1601 MONMOUTH ST
INDEPENDENCE, OR 97351-1019
Phone number:
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