MITRA GASPEED

BEAVERTON, OR
NPI1508311424
Entity TypeOrganization
Authorized ContactMITRA GASPEED
Dental Hygienist
971-322-9504
Organization Subpart ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H4642)
Enumeration Date2016-08-20
Last Update Date2016-09-14
Business Address
MITRA GASPEED
8615 SW THOROUGHBRED PL.
BEAVERTON, OR 97008
Phone number: 971-322-9504
Mailing Address
MITRA GASPEED
8615 SW THOROUGHBRED PL
BEAVERTON, OR 97008-7200
Phone number: 971-322-9504