LIDIYA BOGDAN

PORTLAND, OR
NPI1528435237
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122400000X Denturist
(Licence: OR  DT-DO-10169937)
Enumeration Date2015-08-28
Last Update Date2015-08-28
Business Address
-- LIDIYA BOGDAN LD
4637 SE 128TH AVE
PORTLAND, OR 97236-3713
Phone number: 971-285-0987
Mailing Address
-- LIDIYA BOGDAN LD
4637 SE 128TH AVE
PORTLAND, OR 97236-3713
Phone number: 971-285-0987
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