LAURICE TABITHA COTA

PORTLAND, OR
NPI1659652261
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H6075)
Enumeration Date2011-09-09
Last Update Date2021-12-20
Business Address
Miss LAURICE TABITHA COTA RDH
10102 NE GLISAN ST
PORTLAND, OR 97220-4456
Phone number: 503-257-5959
Mailing Address
Miss LAURICE TABITHA COTA RDH
11232 NE 135TH AVE
VANCOUVER, WA 98682-2291
Phone number: 503-974-5709
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