JOSE ANTONIO ALCANTARA RUIZ

SALEM, OR
NPI1780342212
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H8353)
Enumeration Date2021-12-01
Last Update Date2021-12-01
Business Address
JOSE ANTONIO ALCANTARA RUIZ RDH
610 HAWTHORNE AVE SE
SALEM, OR 97301-5859
Phone number: 503-585-5205
Mailing Address
JOSE ANTONIO ALCANTARA RUIZ RDH
6732 SE 80TH AVE
PORTLAND, OR 97206-7129
Phone number: 503-847-6363
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