DIANA V. BOKOV

PORTLAND, OR
NPI1881940435
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: OR  D9766)
Enumeration Date2012-08-01
Last Update Date2015-10-15
Business Address
-- DIANA V. BOKOV
3653 SE 34TH AVE
PORTLAND, OR 97202-3034
Phone number: 503-988-4410
Mailing Address
-- DIANA V. BOKOV
421 SW OAK ST STE. 210
PORTLAND, OR 97204-1817
Phone number: 503-988-7468