KRISTINE FUENTES TO

PORTLAND, OR
NPI1295618379
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy126800000X Dental Assistant
(Licence: OR  002225)
Enumeration Date2025-07-28
Last Update Date2025-07-28
Business Address
KRISTINE FUENTES TO DA
12570 SE STARK ST BLD #E
PORTLAND, OR 97233
Phone number: 971-347-3009
Mailing Address
KRISTINE FUENTES TO DA
211 SE CARUTHERS ST
PORTLAND, OR 97214-4502
Phone number: 503-224-1044