JACOB RICHARD TREANOR

SALEM, OR
NPI1649604620
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H6476)
Enumeration Date2013-08-27
Last Update Date2013-08-27
Business Address
-- JACOB RICHARD TREANOR RDH
5125 SKYLINE RD S
SALEM, OR 97306-9427
Phone number: 503-396-2922
Mailing Address
-- JACOB RICHARD TREANOR RDH
5125 SKYLINE RD S
SALEM, OR 97306-9427
Phone number: 503-396-2922
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