DORA LUZ SANDOVAL

SALEM, OR
NPI1093570400
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H4303)
Enumeration Date2024-02-14
Last Update Date2024-02-14
Business Address
DORA LUZ SANDOVAL EPDH
610 HAWTHORNE AVE SE STE 200
SALEM, OR 97301-5378
Phone number: 800-525-6800
Mailing Address
DORA LUZ SANDOVAL EPDH
1601 MONMOUTH ST
INDEPENDENCE, OR 97351-1019
Phone number: