DANIEL ALEJANDRO MESA

PORTLAND, OR
NPI1780166918
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D10908)
Enumeration Date2018-09-04
Last Update Date2018-09-04
Business Address
DANIEL ALEJANDRO MESA
2038 LLOYD CTR # H317
PORTLAND, OR 97232-1309
Phone number: 503-897-7082
Mailing Address
DANIEL ALEJANDRO MESA
430 SW 13TH AVE APT 1713
PORTLAND, OR 97205-2372
Phone number: